Facility Usage Request Form

Facility Usage Request

Please answer the following questions and return this form to Dhy Keefer, Administrative Assistant. Upon receipt, your request will be reviewed and you will be notified of approval or denial within 3 business days. All rentals must be submitted at least 2 weeks prior to requested date. Rentals cannot be reserved more than two months prior to date requested.
  • *If multiple dates are requested, please mention the other dates & times in the Additional Comments section below.
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  • (Please provide specific details.)
  • PLEASE NOTE: All advertising must be approved in advance by the YMCA.
  • *Required for activity based rentals