Facility Use Request Organization Name*Main Contact*Email* Day Phone Number*Evening Phone Number*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event Dates (Range)*Time Requested*Event Start Time* : HH MM AM PM Event End Time* : HH MM AM PM Clean Up End Time* : HH MM AM PM Which area(s) are you requesting?* Court 1 Court 2 Court 3 Court 4 Multi-Purpose Room Detailed Instructions/Notes/Special Requests*Please allow a minimum of two weeks for your request to be processed. The annual $20 Permit Fee will be billed on your first invoice. This permit fee is paid once per school year for each building and covers the fiscal year July 1 to June 30.By my signature, I acknowledge that I have read, understand, and agree to the policies and procedures of the Facility Rental Handbook found on the Hope Fieldhouse Website.*Printed Name*Date* MM DD YYYY EmailThis field is for validation purposes and should be left unchanged. Start YourMembership Today Join Now Contact 2645 145th Street W Rosemount, MN 55068 (612) 474-4600 firstname.lastname@example.org FollowFollow Hope Fieldhouse is a certified 501(c)(3) organization.