Gary J. Arthur Community Center

2400 MD 97, Cooksville, MD 21723 Complete this form to request rental space at the Gary J. Arthur Community Center, located in Western Howard County. Once received, our Rental Coordinator will check availability and respond within two (2) business days.

First Name

Last Name

Date of Birth

Address

City

State
Choose one... Maryland DC Virginia Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Phone Number

Secondary Phone Number

Email Address

Have you rented a space at the Gary J. Arthur Community Center before?
No Yes

Organization/ Business name

Room Preference (If you are requesting more than one room, list them in the "Event Description" section)
Choose one... Haymeadow Activity Room Lisbon Activity Room West Friendship Activity Room Patapsco Activity Room Poplar Springs Game Room Brighton Pre-School Room Dayton Arts & Craft Room Kitchen (must be rented with a room) Cooksville Multi-Purpose Room 1 Cooksville Multi-Purpose Room 2 Cooksville Multi-Purpose Room 3 Parker Gymnasium Court 1 Parker Gymnasium Court 2 No room Preference

Event Description:

# of Expected Guests

Rental Date Requested

Alternative Date Requested

Rental Start Time (Including Set Up Time)

Rental End Time (Including Clean Up Time)

How did you hear about rental opportunities at this center?
Choose one... Center Member Google Search I'm a Member Recreation & Parks Guide I just called/walked in I attended another rental/event before Other

Acknowledgment

Submission of this form confirms that the applicant has read and accepted the policies and procedures outlined in the Facility Rental Resource Guide.

I Understand