2016 Community Building Open House Agreement

By submitting this form, I agree to abide by the 2016 Community Building Rules & Regulations set forth in this entire document. I understand I put my participation in jeopardy if I violate the rules or do not comply with the regulations.


Name *
Name
Address
Address
Phone (cell) *
Phone (cell)
Please indicate the products or activities you will offer at the Community Building Open House:
(Table, chairs, special equipment, electrical outlet, etc.):
Program Type *
Program Type:
Program Category *
Program Category
You will receive confirmation on or before November 15, 2016.
WAIVER OF LIABILITY *
Would you be interested in providing programming at The Community Building in the future?