Merrick County Youth & Agriculture Education Center Reservation Request
A contract will be sent to the renter upon receipt of this form. You will have two weeks to return the contract with the required deposit. Your event will then be put on the on-line calendar confirming your reservation. An additional payment and deposit will be due 14 days prior to the first day of your rental. If you have a technology glitch filling out this form, call (308)946-3843.
First & Last Name
Your answer
Preferred Telephone Number including area code
Your answer
Email Address of Requestor
Your answer
If an organization or business event, what is the name of the organization?
Your answer
Mailing Address including zip code
Your answer
Dates you are wanting to reserve a facility (include month, dates, year)
Your answer
If you are not requesting a full day rental, what times do you want the room(s) reserved for? Put a beginning and ending time.
Your answer
Facilities you want to reserve for above dates
The purpose of the facility is community events around youth and agriculture education. If your purpose is not directly related to this mission, please select "other" and specify the need. A committee will review the requests, and if request is denied your deposit will be returned.
Required
What is the name of the event you will be hosting?
Your answer
Will alcohol be served or consumed at your event?
What is the event you are requesting for?
Are you requesting an exception on the rental prices?
If you are requesting an exception, specify whether free or reduced rate, and explain your your basis for the exception? The building overseer committee will review and may deny, accept, or alter at their sole discretion.
Your answer
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