Indoor/Outdoor Rental Request
Date Requested
Your answer
What day of the week is your event?
Event Start Time
Time
:
Event End Time
Time
:
How much time is required for setup/tear down?
Your answer
Full Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Address
Your answer
Organization Name and Address
Your answer
Responsible Party Name / Relation to Organization
Your answer
Please share a brief description of your event and its purpose:
Your answer
Affiliation to Columbus Academy
Which of the following applies to your event?
Do any of the following apply to your event?
Liability Carrier Name
Your answer
Are you able to provide proof of liability insurance?
By typing your name below, you are agreeing to the following statement: Lessee hereby expressly covenants and agrees to indemnify lessor, its board of directors, and all other of its officers against all claims and demands for damages for injury to any person or property occurring on the leased property or elsewhere, or by virtue of any act or thing done on the leased property or elsewhere either by lessee or any other person.
Your answer
Is your organization a non-profit entity?
Is this a fundraising event?
Will admission be charged?
Is the event open to the public?
Space Requested
Please check all that apply to your event:
Number of participants/players?
Your answer
Total number of people expected to attend:
Your answer
Is room arrangement or equipment needed? If yes, please specify.
Your answer
Please select everything your event will require:
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