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GYAC Facility Usage Request Form

This form is intended for individuals and organizations who wish to rent facilities at the Gifford Youth Achievement Center.

Facilities Usage Request Form

Completion of this form does not guarantee your reservation.

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MM slash DD slash YYYY

Contact Details


Event Details

Briefly explain the purpose of your event.
MM slash DD slash YYYY
Start Time(Required)
End Time(Required)
May not be rented after 11:00PM.
Facility Usage Options(Required)
Check all that apply.
Shall include: Refundable deposit, rental fees, and taxes (7%).

Terms of Usage

Please CHECK EACH ITEM, indicating that you have read and understand the terms of usage.
Terms of Usage(Required)
Please check each item, indicating you have read and understand each term of usage.
MM slash DD slash YYYY

Credit Card

Replace this field with a field specific to your payment gateway whenever possible.
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