Request a Reservation
Thank you for your interest in the Dennis A. Wicker Civic Center. By completing this form you are making a request and final confirmation of reservation must come from a DAWCC Facility Coordinator. Please note that open dates on the calendar do not guarantee availability, all events are not listed on the website.
General Information
Name of Event *
Your answer
Brief Description of Event
Your answer
Organization Name
Your answer
Organization Type *
Non Profit Agencies – To receive rate discount a copy of non-profit permit must be provided if not on file with Civic Center. If sponsoring an event, acknowledgement from the agency stating that permission has been granted to hold an event and their Tax Exempt I. D. Number are required.
If Public, are you charging money?
Contact Person Name *
Your answer
Contact Person Title
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email Address *
Your answer
Daytime Phone Number *
Your answer
Evening Phone Number
Your answer
Rental Space
See pricing (www.dawcccom/facilities/) for fee details for each room.
Space Requesting *
Check all spaces you'd like to reserve
Required
Alcohol
Please review our policies on alcohol at www.dawcc.com/facilities/
Dish Usage
Timeline
Note: All events must end by midnight (no exceptions)
Set-up Date & Time
MM
/
DD
/
YYYY
Time
:
Event Date & Start Time *
MM
/
DD
/
YYYY
Time
:
Event End Date *
MM
/
DD
/
YYYY
Break-down Time
Time
:
Other
Estimated Attendance
Your answer
Please estimate the number of people attending your event that may stay in area hotels *
Your answer
How did you learn about our facility *
Your answer
Equipment Needs
You will be notified if your equipment request will require an additional fee
Agreement
The person, persons, or organizations to which a lease is issued shall be liable for any loss, damage, or injury sustained by any persons or organizations to which such a lease shall have been issued. The Management, at their discretion, may require public liability insurance as they deem to be in the best interest of the Dennis A. Wicker Civic Center. The undersigned certifies that he/she is familiar with the Civic Center policies and regulations.

The undersigned and renting party agrees to abide to and enforce the policies and regulations set forth by Center Management and or Dennis A. Wicker Civic Center Board of Advisors. The undersigned person will be directly responsible and liable to the Management and the Dennis A. Wicker Civic Center Board and will represent the leasing/renting organizations concerning ALL matters involving the usage of the Dennis A. Wicker Civic Center by the undersigned organization. The undersigned further certifies that he/she is the authorized representative to act for and accept responsibility for the leasing organization.

Terms
Upon electronically signing this Application for Use Form you are committed to our fee payment schedule, which is - CANCELLATION of event within 60 days of Event Date will FORFEIT deposit and CANCELLATION within 45 days of Event Date will FORFEIT ALL FEES. you will be invoiced.

If deposit is NOT received within 10 consecutive days after receipt of Application for Use, the Dennis A. Wicker Civic Center Director can cancel the event.

It is the client's responsibility to contact The Dennis A. Wicker Civic Center Business Office to advise if client contact information changes. It is imperative that we contact our clients in the event of an emergency of set-up questions.

NOTE: A Tax Exempt ID or Social Security Number will be required for all refunds.

Regarding the "Agreement" and "Terms" above *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms