Facility Use Request Form
This form is to be completed by individuals or groups applying to use/rent the North Carolina Cooperative Extension - Currituck County Center facilities. You will be contacted via email once your request has been approved. Please note reservations are accepted up to but not beyond six months in advance. For rentals, reservations are not confirmed until requests have been approved and deposit received.
Email address *
Please note additional facility guidelines in response to COVID-19
Applicant Name
Phone Number ( cell) :
Phone Number (work)
Applicant Address:
Is this use request for official county business? *
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University. Report Abuse