Event Rental Application

Reserve our facilities for your event

Organization/Individual Information

Type of Applicant*

Organization/Individual Name*

Tax ID/EIN (if applicable)

Primary Contact Person

First Name*

Last Name*

Title/Position

Phone Number*

Email Address*

Mailing Address*

City*

State*

ZIP Code*

Event Details

Event Name/Title*

Type of Event*

Event Description*

Requested Date*

Alternative Date (if available)

Start Time*

End Time*

Setup Time Needed

Cleanup Time Needed

Space Requirements

Estimated Attendance*

Space Requested*

Room Setup Preference

Special Setup Requirements

Food and Beverage

Will food be served?*

Will alcohol be served?*

Catering Details

Kitchen Access Needed?

Equipment and Services

Audio/Visual Equipment Needed

Tables and Chairs

Additional Equipment

Decorations/Signage

Insurance and Liability

Do you have liability insurance?*

Insurance Company

Policy Number

Coverage Amount

Additional Insured Requirements

Payment Information

Rental Rates (Subject to Change)

• Meeting Room A: $50/hour
• Meeting Room B: $75/hour
• Community Room: $100/hour
• Main Gymnasium: $150/hour
• Outdoor Space: $75/hour
• Full Center: $300/hour

Non-profit organizations may qualify for discounted rates. Security deposit required.

Payment Method Preference

Billing Address (if different from mailing)

Required Documents

Certificate of Insurance*

Upload certificate of liability insurance naming Statesboro Community Center as additional insured

Photo ID*

Upload a copy of government-issued photo ID for primary contact

Tax-Exempt Certificate (if applicable)

Upload tax-exempt certificate if claiming tax exemption

Additional Documents

Upload any other relevant documents

Agreement

I agree to comply with all facility rules and regulations*

I have read and agree to comply with all Rules & Regulations

I accept responsibility for any damages during the event*

I accept responsibility for any damages during the event

I understand that a security deposit may be required*

I understand that a security deposit may be required

I certify that all information provided is accurate*

I certify that all information provided is accurate

Signature (Type Full Name)*

Date*

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