Gymnasium Rental Form Gymnasium Rental Calendar Type of Activity(Required) Wedding Reception Sports Other Other Type of Activity(Required)Event Start Date(Required) Event End Date(Required) Event Start Time(Required) Hours : Minutes AM PM AM/PM Event End Time(Required) Hours : Minutes AM PM AM/PM General InformationName of individual responsible for payment(Required) First Last Organization or AffiliationAdditional Contact Person First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Rental Rates: PER DAY or EVENTRental Options(Required)HourlyEight HoursOver 8 HoursClassroom Hourly Rate Price: Enter the number of required hoursPlease enter a number from 1 to 7.Field Hourly Rate Price: Enter the number of required hoursPlease enter a number from 1 to 7.Gymnasium Hourly Rate Price: Enter the number of required hoursPlease enter a number from 1 to 7.Gymnasium and Equipment Hourly Rate Price: Volleyballs & Net, Basketballs, Scoreboard, Tables, Chairs, etc.Enter the number of required hoursPlease enter a number from 1 to 7.8 Hour Day RateClassroom 8 Hour Day Rate - $330.00Field 8 Hour Day Rate - $630.00Gymnasium 8 Hour Day Rate - $730.00Gymnasium & Equipment 8 Hour Day Rate - $830.00Need Additional Time? Please check if you need more than 8 hours for your event.Classroom Additional Hours Fee Quantity(Required) Price: $75.00 Quantity Enter number of additional hoursField Additional Hours Fee Quantity(Required) Price: $145.00 Quantity Enter number of additional hoursGymnasium Additional Hours Fee Quantity(Required) Price: $150.00 Quantity Enter number of additional hoursGymnasium & Equipment Additional Hours Fee Quantity(Required) Price: $170.00 Quantity Enter number of additional hoursSecurity Deposit (For Cleaning Services, Lost, or Broken Items) Price: This will be returned if no cleaning services are needed and contracted agreements have been met.One Time Service Fee Price: This is a one-time event fee.This field is hidden when viewing the form35% of Total Due $0.00 Convenience Fee $0.00 Total Deposit Due Today (35% of Total Payment) Consent(Required) I agree to follow all of Vienna Adventist Academy Gymnasium Rental policies. I agree not to allow any alcohol or smoking on the premises.SignatureYour NameYour NameYour NameYour NameCredit CardCard Details Cardholder Name