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*
" indicates required fields
Rental Request Information
Select a Facility
Birchwood Recreation Center
Community Center
Cutting Hall Performing Arts Center
Falcon Park Recreation Center
Fred P. Hall Amphitheater
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Palatine Hills Golf Course Clubhouse
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Select an Outdoor Pool
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Primary Date Requested
*
MM slash DD slash YYYY
Secondary Date
MM slash DD slash YYYY
Start Time
*
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:
Minutes
AM
PM
AM/PM
End Time
*
Hours
:
Minutes
AM
PM
AM/PM
Type of Event
*
Attendance Expected
*
Please enter a number greater than or equal to
0
.
Rental Activity / Equipment
*
Please describe facility rental use and any equipment you may need. Examples include tables, chairs, A/V equipment, or electrical.
Will there be an outside vendor providing food or equipment?
*
Yes
No
Please Note: A Certificate of Liability is required for all outside vendors.
Personal Information
Applicant Name
*
First
Last
Date of Birth
*
Required for Household Set Up
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If Applicable
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*
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Primary Phone
*
Email Address
*
Terms & Conditions
*
I have read and agree to the Terms and Conditions
Acknowledgement
*
I understand and further agree I will be held responsible and will automatically be charged additional fees for any damages caused by a misrepresentation of the purpose or size of the event being held, damages to property, excessive trash clean up, early arrival, and/or failure to vacate the premises at the scheduled end of the rental.