Rental Request Form - South Side YMCA
Please use this form for all rental inquiries.
Email address *
Today's Date:
MM
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DD
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YYYY
Primary Contact's Full Name: *
First and Last Name
Your answer
Primary Contact's Phone Number: *
Your answer
Primary Contact's Email Address: *
Your answer
Primary Contact's Mailing Address: *
Please provide a street address, P.O. Boxes will not be accepted, ex. 1234 S. YMCA Street
Your answer
Primary Contact's City: *
Your answer
Primary Contact's State: *
Your answer
Primary Contact's Zip Code: *
Your answer
Primary Contact's Date of Birth (mm/dd/yyyy) *
This is needed to complete the rental agreement.
Your answer
Secondary Contact's Full Name *
First and Last Name
Your answer
Secondary Contact's Phone Number *
xxx-xxx-xxxx
Your answer
Type of Event *
meeting, birthday party, baby shower, sporting event, company sponsored event, etc.
Your answer
Event Date *
MM
/
DD
/
YYYY
Second Choice (if 1st date is not available) *
Enter "N/A" if you do not wish to host your event on a date other than what was provided above.
MM
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DD
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YYYY
Start time of event *
Time
:
End time of event *
Time
:
Are you currently a member of the YMCA? *
Tell us who/what the event is for? *
Your answer
How many children will be in your party/group? *
Your answer
How many adults will be in your party/group? *
Your answer
What area are you interested in renting? *
Required
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