Facility Use Application Form

Purpose and Use: This form is intended to collect the necessary information needed to reserve use of a GSNorCal office space.

Facilities Requested (May select more than one space): *
 Dates of UseDays of UseHours of UseEstimated Attendance
Meeting frequency: *
Emergency contact while at the facility:
Please read carefully and check each box: *

Electronic Signature

I understand that in signing this agreement, I will abide by all rules and regulations of the above facility. I will leave the building clean and free of debris.  All tables and chairs are clean and to be arranged as found on arrival.

Girl Scouts of Northern California reserves the right to notify the user 72 hours in advance of cancellation of use of said facility.  Council events take priority.

Published February 16, 2021

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.
Girl Scouting builds girls of courage, confidence and character that make the world a better place.  2014 Girl Scouts of Northern California