1. Facility Desired: VMS ____  Kresson ____   Hamilton ____  Osage _____  Signal Hill ____  Other ____

2. Name of Organization: __________________________________________________

3. Contact Person: ________________________  Phone: _____________  Work Phone: _____________

A. Day (Circle):   Mon   Tue   Wed   Thu   Fri   Sat   Sun  B. Date(s): _______________________

C. Arrival/Departure Time:         Arrive: ________        Depart: ________ 

D. Participants Will:                    Arrive: ________        Depart: ________       E. Total Hours:  ______________

4. Room(s) or area(s) desired (Please be specific): _________________________________

5. Area will be used for: _____________________________________________________

6. Number of Participants: ________   7. Number of Participants who are Voorhees Residents: _________

8. Will decorations, scenery, or movement of furniture be required?   Yes       No 

 9. Will items be sold or exhibited, or will a fee be charged?    Yes     No

10.  Applicant's Information (if different from above)  Name: ___________________________             Address: ______________________________________ City: _____________  State:___  ZIP:_______    Phone: __________________      Email: ______________________________________

Rules and Regulations

1. All new groups and/or groups of 50 or more will be required to apply at the CER Office.

2. Participants will be under adult supervision at all times.

2. No food or drink is permitted without approval from the CER Director or the Event Coordinator.

3. Groups will promptly adhere to arrival and departure times.                                                                

4. Groups will remain in the areas specified above in the application.                                           

5. Organizations will be held responsible for any vandalism, theft, damage, or additional hours needed for clean up.

6. At least one week's notice will be given in writing for a facility request, and multi-date usage will require reapplying quarterly.  

7. No kitchen use unless requested and approved.

8. You are not approved until you receive a permit.  Bring the permit with you.

9. To ensure proper billing, a representative of your group must exit with the CER staff.

The undersigned AGREES to see that the rules and regulations regarding use of the facility are strictly followed. Failure to adhere to any of the above mentioned rules may result in loss of use of the facility and can result in a fine or a loss of the deposit.

Print Name: __________________________________       Date: ___________________

Signature: ____________________________________