Use This FOrm To INquire About Renting The Fifth Corner Building

Day(s) of the week you would like to use The Fifth Corner building: *
Start Date: *
Start Date:
Please enter the start date for your activity
End Date:
End Date:
Please enter the last day of your activity (if applicable)
Time In: *
Time In:
Time Out: *
Time Out:
Please include set-up and takedown time, if applicable
Please describe the activity for which you would like to rent The Fifth Corner
Examples: pool table, air hockey table, XBox player [controllers not provided; must bring your own], sound equipment, kitchen, upstairs only, entire facility. Only those items listed will be available for use.
If applicable
Name of Person Making the Request: *
Name of Person Making the Request:
Contact Phone Number: *
Contact Phone Number:
Please enter the number you at which you would like us to contact you
Contact Mailing Address: *
Contact Mailing Address:
Alternate Contact Person: *
Alternate Contact Person:
Someone else who is willing for us to contact if we can't get a hold of the primary contact
Alternate Contact Phone Number: *
Alternate Contact Phone Number: