Name *

First Name

Last Name

Phone *

(###)

###

####

Cell

(###)

###

####

Alternative Contact

First Name

Last Name

Alternative Phone

(###)

###

####

Date of Rental *

MM

DD

YYYY

Arrival Time *

Hour

Minute

Second

AM PM

Departure Time *

Hour

Minute

Second

AM PM

Tables (for Great Room Rentals only)

Round

Rectangular

Table Cloths (for Great Room Rentals only)

Yes

No

Use of BBQ

Yes

No

Appliances

Fridge/Freezer

Microwave/Oven

Dishwasher