Meeting Room RentalMeeting Room Rental Agreement Date(s) of Rental * Which time slot would you like to rent? * Afternoon: 1 PM–4 PM Evening: 6 PM–9 PM Use Description * Name of Person(s) Renting the Facility Name of Person * Name of Person First First Last Lastplus1 Add minus1 RemoveAddress * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * Email * I have read the above “Conditions of Rental” and agree to these conditions in their entirety. I accept complete responsibility for any damage caused by persons using the facility during this rental session.It is further understood that the Platte County Historical Society and its members are not to be held responsible for any accidents or injuries that may occur during this rental session and I accept these responsibilities. Signature * Clear If you are human, leave this field blank. Submit
