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Community Meeting Room Reservation Form

2. Please enter through the Fire Department / Community Development & Building Department Door.

   Please enter through the Fire Department / Community Development & Building Department Door.

4. First Name*

5. Last Name*

6. Phone Number*

8. Email *

10. Organization / Affiliation*

12. Date and Time Requested*

    Enter the first choice for the requested date and time of meeting.

14. Second Date and Time Requested

    Please enter a secondary date in case your first one is unavailable.

16. Agreement*

    By clicking "I Agree," you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature. Signee is responsible for any and all damages incurred.

    1. I agree.
18. Applicant's Signature*

    Please type name

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field