BUILDING USE APPLICATION

BAY RIDGE RESCUE SQUAD BUILDING USE REQUEST FORM

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date Requested *

Time Requested *

NOTE:

THE ABOVE PERSON/ORGANIZATION IS RESPONSIBLE FOR ANY DAMAGES TO THE BUILDING DURING THEIR USE. THEY ARE ALSO RESPONSIBLE FOR CLEAN UP AFTER THE ORGANIZATION FUNCTION IS COMPLETED.

MAX CAPACITY OF FACILITY WILL BE NO MORE THAN 25 INDIVIDUALS AND ARE REQUIRED TO WEAR A MASK AT ALL TIMES WHEN THERE IS NO EATING/DRINKING INVOLVED.

DONATION FOR UTILIZING THE FACILITY IS GREATLY APPRECIATED.

SMOKING IS NOT ALLOWED ON THE PREMISIS.

NO VISITORS WILL BE ALLOWED TO “WALK AROUND” THE FACILITY AND ENTER THE AMBULANCE BAYS.

By signing this form, you agree to take full responsibility of the building to assure it will be cleaned after the event and assume all responsibility for any damages that may occur during your event. Visitors will ONLY be allowed to be in the meeting room, kitchen, the main parking areas and utilize the main bathrooms only.

DUE TO ADHEREING TO THE AGENCY COVID POLICY, SPECIAL REQUESTS AND APPROVAL FOR AN AMBULANCE TOUR MUST BE MADE THROUGH THE CAPTAIN ONLY.

Name of Requester *

Date *

Submit

YOUR CART

BAY RIDGE RESCUE SQUAD BUILDING USE REQUEST FORM