Gymnasium Rental Form Gymnasium Rental Calendar Type of Activity(Required) Wedding Reception Sports Other Other Type of Activity(Required)Event Start Date(Required) MM slash DD slash YYYY Event End Date(Required) MM slash DD slash YYYY 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.SignatureCredit CardCard Details Cardholder Name
