Community Room Request and Agreement Form

Review our updated guidelines for community room and outdoor space usage here.  Please complete the form below to request to use the New Balance Community Room, Allston Brighton Community Room, parking lot, or lawn area adjacent to the lobby for meeting request.  Please note that this is just a reservation request.  Staff from PSF Community Center will contact you to confirm your reservation.

Leave this field blank

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Requester Type

Please choose from the drop down which best describes you.

Organization Group Individual

Non-Profit

Yes

No

Name of Organization/Group

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Your Information

Contact Name

Contact Title

Phone

E-Mail

Address

Please fill out your organization/group address

Organization or Group Description:

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Room Request Details

Date Requested

Start Time

End Time

Recurring Schedule

Yes

No

Frequency

daily

weekly

monthly

yearly

Repeat Until

Describe Planned Event/Activity:

Which Space Would You Like?

Lawn (Next to Lobby)

Parking Lot

New Balance Room

Alllston Brighton Community Room (Formerly Little Sprouts Room)

Primary Purpose

Educational

Entertainment

Business

Social

Other

Other - Describe Purpose

Anticipated Attendance

Number of Allston-Brighton Residents

Will Children Attend

Under 18 years old

Yes

No

Will Seniors Attend

Over 64 years young

Yes

No

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Community Improvement

Will the Event/Activity support low-income or underserved populations

Yes

No

How Will It Help Community

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Charge To Attend?

Is there a fee for people to attend this event?

Yes

No

What Will You Charge

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Will You Advertise?

Yes

No

Describe How You Will Advertise

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Subject to Availability

Kitchen Needed (optional)

Yes

No

Yes - Describe

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Community Room Rules

Rules

I agree to the terms and conditions Community Room Rules

Signature

I agree that my typed name below will be as valid as a handwritten signature to the extent allowed by local law. By my signature below, I confirm that I understand and agree to all of the Community Room Rules listed above, and that all of the information on this form is correct.

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