Miner Pavilion Rental Agreement

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State

Zip Code Country

Email

example@example.com

Select the Type of Event *

Wedding Reception Reunion Birthday Party Banquet Business Event Fundraiser Youth Sports

Youth Sports duration

None 2 hours 3 hours 4 hours Full Day

Youth Sports Fee/Day

To calculate fee, enter number of days

(Optional)

Pick Dates: *

Event Dates (Do NOT include 1/2 day set up and/or clean up.) *

# of Days Selected

Add Reservation Selections

1/2 Day Set Up (Must accompany full day rental)- Addt'l $50.00 Fee 1/2 Day Clean-up (Must accompany full day rental) - Addt'l $50.00 Fee None

Daily Rental Fee = $200.00 Key/Damage Deposit = $200.00

Fee based on selections

Youth Sports Fee Total based on selections

Fees vary based on Council approval.