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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. Reason for Rental

    Please let us know how the facility will be used.

  5. Requested date & time the facility will be rented. * Please include set-up & clean-up.

  6. Rental Type*

  7. Leave This Blank:

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