Request for Facility Rental

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Phone: 614-491-1080

Address: 4175 Alum Creek Drive • Obetz, Ohio, 43207

614-491-1080

4175 Alum Creek Drive • Obetz, Ohio, 43207

Before submitting a request, please check the availability for the day and time you wish to reserve by going to the venue specific calendar.

Disclaimer: This is a request form. This reservation is not guaranteed until it has been approved by the Village of Obetz. All deposits must be received within 48 hours after submitting this request to confirm your reservation.
If you have any questions, please contact us by phone at (614) 491-1080.

Facility Requested*
- Dixon Quarry (Closed November 1st through March 31st)
- Stewart Hall (OCC)
Date(s) Requested*
Date Format: MM slash DD slash YYYY
Start Time (including set up)*

: HH

MM
End Time (including clean up)*

: HH

MM
Name of Renter*
First Last
Email*
Phone*
Organization (if applicable)
Address*
Street Address City State ZIP Code
Type of Function and Estimated Number of Attendees*
(Please be specific)
Will alcohol be served?*
- Yes
- No
If yes, Obetz will need to issue a permit priorto the event.
If a youth function, please specify age range of youth attendees:
Terms & Conditions*
- Yes, I have read and understand the policies and regulations including the General Terms & Conditions and agree to comply with the same. I also understand and agree to abide by any additional policies and regulations put in place prior to my use of the facility. For and in consideration of the permission to use the above described facility, I, the undersigned, acquit, discharge and covenant to hold harmless the Village of Obetz, its officers, employees, servants and agents from any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses and compensation, on or account of, or in any way growing out of, any and all personal injury or property damage which may result to group/organization members as a result of participation in the aforementioned activity at the described facility.
Renters Signature*
Date*
Date Format: MM slash DD slash YYYY

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