2. Note
   Contact to arrange to pick up the keys prior to the event date.
6. Renter Information
8. Name of Contact Person
10. Organization (if applicable)
12. Address
14. Phone
15. Fax
17. Email
21. Event Information
23. Date of Event
    Date of Event

    Date of Event
24. Anticipated Number of People
26. Event Times
    Include time for set-up, tear down, and clean-up.
28. Purpose of Event
32. Area(s) & Equipment Required

    The rental includes use of coat space and public restrooms.

    1. Kitchen Facilities
    2. Library
    3. Library Computers
    4. Library Meeting Room
    5. Public Meeting Room Projector and Screen
    6. Senior Center Dining Room
    7. Senior Center Meeting Room
36. Rental Fees
    Rental fees and deposit must be paid prior to the event date.
38. Rental Charge (if applicable)
39. Refundable Security Deposit (if applicable)
41. Total Amount Payable
45. Contract Agreement
    Please review the Building Usage Policy (PDF) before completing this section.
47. Agreement

    I have read and agreed to the stated conditions, and promise to comply with all policies related to the use of the Barron Municipal Facility.

    1. I agree
49. Signed
50. Date
    Date
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field