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.
Your answer
What is the name of your group? *
Your answer
What is the date of your event at the house? *
MM
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DD
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YYYY
Time
:
Who is the event open to? *
Your answer
What is the purpose of your gathering? *
Your answer
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
Required
What is your email address so we may contact you with the fraternity decision? *
Your answer
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