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Special Use Facility Rental Application Form

2. Personal Information
   Please complete the following 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

9. Organization

10. Non-Profit (501c3)

    1. Yes
    2. No

12. Email*

14. Address*

15. Apartment #

17. City*

18. State*

19. Zip Code*

21. Home Phone*

22. Cell Phone

24. Rental Information

26. Event Type*

    What type of event are you having (ex. Wedding, Birthday Party, Reunion, etc.)?

27. Expected Attendance*

29. Building or Facility*
    -- Select One --Durham ArmoryForest Hills Neighborhood ClubhouseMcCown-Mangum HouseSpruce Pine LodgeCCB Plaza

30. Date(s) of Rental*

32. 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.

34. 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?

35. Event Start & End Time*
    Event Start & End Time Start Time

    —

    Event Start & End Time End Time

    What time does your event begin and end?

36. Clean Up End Time*
    Clean Up End Time

    What time will you be finished cleaning up and exiting the facility?

38. 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

40. What is the average age of the attendees?*
    -- Select One --YouthYouth / Teens (10-15)Teens / Young Adults (16-25)AdultsFamily / All Ages

42. 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

44. How will you be advertising your event?*

46. Will you be serving food?*

    1. Yes
    2. No

48. Will you be serving alcohol?*

    1. Yes
    2. No

50. What type of alcohol will you be serving?

    1. Beer and Unfortified Wine Only
    2. Beer, Wine and Liquor
    3. Fortified Wine/Liquor Only

51. How will alcohol be served?

    1. Sold by bartender/caterer
    2. Served by bartender/caterer
    3. Self service by guest

52. What time will you begin serving alcohol?

54. Event Details

Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field