1

General Information

 *

General Information

First Name	Last Name	Address
City	State	Zip
Phoneext.	Email

2

Organization if Applicable

Organization Name

3

Event Information

 *

Event Information

Event Name	Date Requesting (no more than 6 months in advance)	Time In
Time Leaving (3 hour minimum)	Expected Attendance (capacity 150)	Room Requested (Gym or Banquet Room)
Description of Event

4

Please select to acknowledge you have read and agree to the following statement.

 *

I understand that the above requested date(s) are not secured nor held until completion of the confirmation payment is made with the Garner Senior Center and the requested user is at least 21 years of age. The Town of Garner may deny use of the facility to any group or individual whose proposed activity is illegal or poses a significant threat of damage to the facilities or persons in attendance.

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Thank you for your interest in renting the Garner Senior Center to host your next event!  Once you have completed and submitted this form, a staff member will be in contact with you regarding your request and to assist you.  

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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