WELCOME TO

Rental Request Form

Contact Info

Chicago, Illinois

8:00 A.M. - 4:30 P.M.

James Carter

Recreation Facility Manager

312-555-1010

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Name*

Email*

Phone

Organization Name (If Applicable)

Date Requested

Start Time*

End Time*

Number Of Attendees

Please enter a number greater than or equal to 0.

Type Of Event

Area Requested

Lakeview Room

Riverview Room

Both Rooms

I Am A

Resident

Non-Resident

Other Information*

Signature*

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