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Durham Parks and Recreation - Special Use Facility Rental Application Form

2. Personal Information
   Please complete the following information.
4. Full Name*
   First & Last Name
6. Date of Birth*
   Date of Birth
7. Gender*

   1. Male
   2. Female
8. Race and Ethnicity - How do you identify? Click all that apply. You may choose more than one**

   1. African American / Black
   2. American Indian or Alaskan Native
   3. Asian
   4. Hispanic, Latino/a, or Spanish
   5. Middle Eastern or Northern African
   6. Native Hawaiian or other Pacific Islander
   7. White
   8. Decline to State
10. Organization
11. Non-Profit (501c3)

    1. Yes
    2. No
13. Email*
15. Address*
16. Apartment #
18. City*
19. State*
20. Zip Code*
22. Home Phone*
23. Cell Phone
25. Rental Information
27. Event Type*
    What type of event are you having (ex. Wedding, Birthday Party, Reunion, etc.)?
28. Expected Attendance*
30. Building or Facility*
    -- Select One --Durham ArmoryForest Hills Neighborhood ClubhouseSpruce Pine Lodge
31. Date(s) of Rental*
33. Will you be purchasing Setup/Breakdown from Durham Parks and Recreation?

    1. Yes
    2. No

    This includes Durham Parks and Recreation tables and chairs only. Please note: this is only for the Durham Armory.
35. Set-up Time*
    Set-up Time
    What time do you need to enter the facility in order to set up by the start of your event?
36. Event Start & End Time*
    Event Start & End Time Start Time

    —

    Event Start & End Time End Time
    What time does your event begin and end?
37. Clean Up End Time*
    Clean Up End Time
    What time will you be finished cleaning up and exiting the facility?
39. Who will be attending?*
    -- Select One --Invited Guests OnlyTicketed AudienceFree to the PublicOpen to the Public with Paid AdmissionOpen to the Public with Recommended Donation
41. What is the average age of the attendees?*
    -- Select One --YouthYouth / Teens (10-15)Teens / Young Adults (16-25)AdultsFamily / All Ages
43. Will fees or donations be collected?*
    -- Select One --No Fees or Donations Will Be CollectedIn Advance or Presale OnlyOnly at the DoorAt the Door and in AdvanceRecommended Donations at the Door
45. How will you be advertising your event?*
47. Will you be serving food?*

    1. Yes
    2. No
49. Will you be serving alcohol?*

    1. Yes
    2. No
51. What type of alcohol will you be serving?

    1. Beer and Unfortified Wine Only
    2. Beer, Wine and Liquor
    3. Fortified Wine/Liquor Only
52. How will alcohol be served?

    1. Sold by bartender/caterer
    2. Served by bartender/caterer
    3. Self service by guest
53. What time will you begin serving alcohol?
55. Event Details
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field