Name*
Contact Person*
Address
City
State
Zip Code
Phone*
Email*
Profit

Non Profit Organization

Security Services maybe required by the City Police or Richland County Sheriff Department at an additional cost to the Requestor
Building or Site Requested:
Specific Area Requested:
Anticipated attendees:
Name of Event:
Description of Activities or Event in which the facility will be used:
Additional support requested (materials, equipment, IT Tech):
Will admission be charged or contributions be solicited for this event?

Date(s)/Time(s) Requested: *
If the above dates and accommodation are available your request will be forwarded to the facility manager and you will be contacted for further action.