Reservation Request
Please review the calendar of events to ensure that the date you are seeking is available. After your submission of this form, we will contact you!
Name
*
First Name
Last Name
E-mail
*
Phone Number
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Area Code
Phone Number
Beginning Date of Event:
*
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Month
-
Day
Year
Date Picker Icon
Ending Date of Event:
*
-
Month
-
Day
Year
Date Picker Icon
Reserved Beginning Time:
*
1
2
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4
5
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7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Reserved Ending Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event Title:
*
Wedding
Anniversary
Other
If other (enter below)
Other Event:
Depending on type of event, we may not be able to accommodate your event.
General Number of anticipated Guests:
Deposit Information:
*
After I am contacted by a representative of Bliss Barn at Kelsay Farm indicating their acceptance of this reservation request, I agree to make a $500 non-refundable deposit in order to secure my reservation.
Submit
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