Section I – General Information

Thank you for choosing our facility for your special reservation. Before completing this reservation request, please review the Recreation Center Reservation Guidelines.

Section II – Fee Schedule

Eureka Recreation Center Community Room(Required)
Total hours should include all setup and break down time necessary for your reservation.

Section III – Applicant and Event Information

Main Contact(Required)
Address(Required)
City of Roanoke resident?(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Start Time(Required)
Please include any set up time required.
:
End Time(Required)
Please include any break down time required.
:

Section IV – Indemnification and Authorized Signatures

Consent