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Janice Ward Facility Rental Application

  1. Janice Ward Facility Rental Application
    Please complete for rental of the Janice Ward Community Center. You need call the Government Center at 937-836-3500 prior to submitting an application to verify the date and time you are requesting is available. Application must be submitted with payment for rental date and time to be guaranteed.
  2. First & Last Name or Group renting facility
  3. Phone Number
  4. Requested date & time the facility will be rented. * Please include set-up & clean-up.
  5. Rental Type*
  6. Acknowledgement *
  7. Please upload a picture of proof of residency.  Proof of residency may also be verified by emailing or present proof at the Government Center.

    *Proof of residency includes valid driver’s license, state ID or utility bill. 

  8. Leave This Blank:

  9. This field is not part of the form submission.