Organization (If Applicable)

First and Last Name

Date of Birth

Address

City

State

Zip Code

Email Address

Phone (Cell)

Phone (Home)

Phone (Work)

# of Expected Guests

Requested Room(s)
Choose one or more... Activity (Meeting) Room Chesapeake Multipurpose Room(s) Gymnasium (1 hour minimum on gym rental permitted) Hammond Branch Room Savage Mill Room Kitchen (caterer #) Large Rental Package Park Pavilion (May 6 to September 30)

Event Description

Pavilion Blackout Calendar (Only dates displayed are tentatively available)

Event Date

Alternate Date

Event Start and End Times

Please Note

Event time includes set up and clean up time. After you submit the request form, you will be contacted regarding availability.

This is just a request form. A North Laurel Community Center staff member will contact you after checking availability. Submission of this request form confirms that the applicant has read and understands the policies and procedures outlined in the Facility Rental Guide. A 501C3 form required for Non-Profit Organizations seeking non-profit fee rates.

I Understand