Cooke's - Portsmouth United Church Rental Request
Please fill out the following form to request further information on the rental opportunities at Cooke's-Portsmouth United Church. Our friendly staff will be in touch.

***Please note that third-party liability insurance is required for all rentals***

Group Name *
Your answer
Contact Person *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
I am interested in renting: *
Please check all that apply
Required
Date of Rental *
MM
/
DD
/
YYYY
Start time
Time
:
End time
Time
:
How many people are you expecting?
Your answer
What is the purpose of the rental? *
e.g. concert, wedding, recital, meeting, function
Your answer
Do you require any audio/visual/lighting equipment
e.g. projector for a meeting, microphones for a concert
Your answer
Are you interested in renting the Baby Grand Piano?
Any other questions?
We will do our best to answer questions and accommodate requests
Your answer
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