Psi O House Use Request Form
What is your name?
I understand that by signing my name, I accept full responsibility for my group and their actions during use of the Psi Omega Dental Fraternity house located at 901 East River Parkway, Minneapolis MN. I agree to be held responsible for any damage to the home or property and for any incidents involving law enforcement. I agree to pay for my use of the house in advance. I agree to leave the house in as good of condition or better than I found it or I will pay a fine to be determined by the house managers.
What is the name of your group?
What is the date of your event at the house?
Who is the event open to?
What is the purpose of your gathering?
How many people do you anticipate using the house?
Items I will be using at the house
Keg fee: $5pp. Grill fee: $10. Upstairs lounge: free. Kitchen: free
What is your email address so we may contact you with the fraternity decision?
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