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JKM Center Rentals
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Name of Applicant
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Your answer
Contact Name if Applicant is Organization
Your answer
Phone Number (Please include multiple if it is different throughout the day)
*
Your answer
Address
*
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City
*
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State
*
Your answer
Zip
*
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Email
*
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Spaces Need
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Your answer
Date of Event
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MM
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DD
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YYYY
Time of Event
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Time
:
AM
PM
Proposed Use
*
Your answer
Estimated Daily Attendance
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Is your organization registered as a non-profit?
If so, proof must be provided.
Yes
No
Is your organization registered as tax exempt, non-profit?
Please enter Tax ID in other.
Yes
No
Other:
Does this rental cover multiple dates?
Please enter how many in other
Yes
No
Other:
Does the proposed event require set-up prior to date of event?
*
Yes
No
Does the proposed event include food and beverage vendors?
Please enter how many in other
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No
Other:
Does the proposed event include merchandise vendors?
*
Please enter how many in other
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No
Other:
Required
Does the proposed event anticipate alcohol sale?
*
Please enter how many in other
Yes
No
Does the proposed event include any form of publicity?
*
Please enter how many in other
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No
Total Cost
Total cost will be determined by staff prior to event. A security deposit will also be required and determined by staff prior to event.
Signature
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Your answer
Date
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