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FACILITIES RENTAL REQUEST FORM

2. ALL RENTALS HAVE A 3-HOUR MINIMUM WITH BOOKINGS IN 1-HOUR INCREMENTS FOR THE ENTIRE TIME THE BUILDING IS OCCUPIED. Please submit form to check availability. Rentals will not be confirmed until contract is signed and payment is made. Please call Grant Haynes 713-662-8282 for additional details.

   ALL RENTALS HAVE A 3-HOUR MINIMUM WITH BOOKINGS IN 1-HOUR INCREMENTS FOR THE ENTIRE TIME THE BUILDING IS OCCUPIED. Please submit form to check availability. Rentals will not be confirmed until contract is signed and payment is made. Please call Grant Haynes 713-662-8282 for additional details.

4. To view a full list of our rental policies and procedures follow the link below:
   Rental Policies and Procedures

6. First Name*

7. Last Name*

9. Address*

11. City*

12. State*

13. Zip*

15. Birthdate:*

16. Phone *

17. Email*

19. Description of Event*

21. Date & Time Requested*
    Date & Time Requested Start Date

    Date & Time Requested Start Time

    —

    Date & Time Requested End Date

    Date & Time Requested End Time

    3 Hour minimum (1 hour increments only)

23. Is this event open to the public?*

24. How many guest are you expecting?*

26. Is there an admission fee for this event?*

    1. Yes

    1. No

27. How will this event be advertised?*

    1. Television
    2. Social Media (i.e. facebook, instagram, snapchat)
    3. Radio
    4. Newspaper
    5. None
    6. Other

29. Will alcohol be served?*

    1. Yes

    1. No

    No alcoholic beverages of any kind shall be sold, possessed, or consumed in the building or on the premises unless a person or organization has first obtained a special use permit from the City Manager or his designee.

30. If Yes, Upload Permit:

32. What are your plans for security?*

    If serving Alcohol, the City of Bellaire may require you to provide security for your event. All security must be approved by Bellaire Police Department.

34. Are you a Non - Profit Organization?*

    1. Yes

    1. No

    Must submit IRS Non-Profit Verification to receive any eligible discounts.

35. If Yes, Upload IRS non-profit verification:

37. Recreation Facility:

    Prices are for (Resident / Nonresident) PER HOUR. All facilities have a $100 / $200 refundable deposit (Resident / Nonresident).

    1. Meeting Room ($75 / 105)
    2. Craft Room ($35 / $70)
    3. Youth Room ($35 / $70)
    4. Gymnasium ($175 / $225)
38. Civic Center and CenterPoint Energy Community Center:

    We are now accepting reservations for Civic Center events starting October 1, 2019. All facilities have a $500 / $750 refundable deposit (Resident / Nonresident).

    1. Auditorium ($140 / $280)
    2. Meeting Room ($55 / $75)
    3. Meeting Room w/Kitchen ($75 / $95)
    4. Whole Complex ($215 / $375)
    5. CenterPoint Energy Community Center ($100 / $200)
40. Will you need to use the stage?*

    This option is for those requesting the Civic Center Auditorium or Whole Complex.

    1. Yes

    1. No
41. What AV equipment will you need?*

    See room descriptions for what is available in each room. Select all that apply.

    1. Projector
    2. Handheld Mic
    3. Lapel
    4. Table-top Mic
    5. TV
    6. Podium
    7. None
43. How many tables?*

44. How many chairs?*

46. Questions or Comments:

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

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