Request edit access
Rental Request
Healing Arts Studio Rental for Events and Workshops
Email address *
Company Name *
Your answer
Contact Name *
Your answer
Phone Number
Your answer
Have you rented space form us before? *
Type of Event/Workshop/Class *
Your answer
Description of Event/Workshop/Class
Your answer
Will this be a recurring event? *
Preferred Date
Preferred Time
How many attendees are you expecting?
Your answer
Would you be interested in PWC doing all or part of the marketing? *
Renters will be requested to provide a Certificate of Liability Insurance (COI) naming Patchogue Wellness Inc. dba Patchogue Wellness Center as an additional insured. A copy of the required Certificate of Liability Insurance must be submitted prior to your workshop/class.event. Yoga teachers may be asked to provide individual liability insurance. Do you agree to provide this? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy