DCDS Facilities Rental Request
Upon receipt of your submitted request below, a DCDS staff member will contact you to confirm availability and arrange payment.
Please note that all room rental fees will need to be submitted with the Facility Rental Agreement and
certificate of liability insurance after confirming date with DCDS staff.
******
FOR OFFICE USE ONLY
Key Pickup Day/Time: ______________________________
Total Amount Due $ Check Enclosed: Check Number:
Credit Card Number: Expiration: ___ / ___ CCV: _______
Payor Name:
Date Paid:
