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  3225 Pickle Road  Oregon, Ohio 43616   |    Phone: 419-693-0465    |    Fax: 419-697-2816

Event & Facility Request Form

 Required fields are marked with an asterisk. (*)
 Primary Contact Information
Your name *

Please let us know your name.
Group *

Please enter a group name
Contact Email *

Please let us know your email address.
Phone Number

Please enter a phone number
 Event Information
Name of event *

Please tell us the name of your event.
Event Date *

Please choose a date for your event.
Alternate Dates

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Event Start Time *

Please give the time of your event.
Event End Time

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Requested Location (please check all locations you wish to use)

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Maintenance Needs:

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Technology Needs:

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Other Special Needs or Comments
(If your event is for adults and you intend to serve alcohol, please indicate here.)
Please let us know your message.


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 If you do not receive a confirmation email shortly after submission of your request,
 please check your spam or junk mail box for the confirmation email.