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2. First Name*
3. Last Name*
5. Phone Number (work)*
6. Phone Number (cell)*
8. Email Address*
10. Employee use agreement*

    I certify that I, as the employee, will be onsite and responsible for the reservation. I am not reserving the site on behalf of any other individual or organization.

    1. Yes
    2. No
12. Detailed description of event*
14. How many individuals will be onsite*
15. Are you serving food?*

    If yes, restrictions will apply

    1. Yes
    2. No
17. Date of building request*
18. Are the dates flexible?*

    1. Yes
    2. No
20. Time of building request*
21. Is the timeframe flexible?*

    1. Yes
    2. No
23. Building Rules - I have read and understand the following*

    • Alcoholic beverages are prohibited in all city facilities.

    • User must leave the building as they found it.  Cleaning supplies and replacement garbage bags must be provided by user.

    • Dispose of all trash in the City Hall dumpster, or pack it out if necessary.

    • Employees must ensure all interior office doors remain closed and locked during the rental period.

    • Additional rules may apply depending on the time of year or season.

    1. Yes

    1. No
25. Employee Rental Rules and Regulations
    Rules and Regulations - Chambers

    Please read and print the linked document

27. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
29. Electronic Signature
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field