Coon Rapids Civic Center & Riverwind Building Rental Form

2. Please choose and action:*
   -- Select One --Application for ReservationRequest more Information

4. Name of Event for Display

6. Name of Organization and/or Troop Number (if applicable)

8. First Name*

9. Last Name*

11. Address1*

13. City*

14. State*

15. Zip*

17. Primary Phone Number*

19. Email Address*

21. Verify Email Address Again

23. Alternate Contact Name

24. Alternate Phone Number

26. Alternate Email Address

28. Date & Time Requested
    Date & Time Requested

    Date & Time Requested

    Time requested for Civic Center rooms only, and include setup and cleanup. See below for Riverwind hours.

29. How many hours?

30. Estimated guest count:*

32. If requesting more information, please list alternate dates below:

34. Room(s) Requested:*

    1. Banquet Facility (includes Civic Rooms A, B, & C)
    2. Civic Room A (seats up to 80)
    3. Civic Room B (seats up to 80)
    4. Civic A & B (seats up to 160)
    5. Civic Room C (seats up to 60)
    6. Gazebo
    7. Conference Room 5 (seats up to 14)
    8. Arts & Crafts Room (seats up to 24)
    9. Recreation Room (seats up to 20)
    10. Kitchen
    11. Riverwind 1 7:00 am - 2:00 pm
    12. Riverwind 1 3:00 pm - 10:00 pm
    13. Riverwind 2 7:00 am - 2:00 pm
    14. Riverwind 2 3:00 pm - 10:00 pm
    15. Riverwind 1 7:00 am - 10:00 pm
    16. Riverwind 2 7:00 am - 10:00 pm

36. Purpose of Use:*

38. Are you serving alcohol? (not allowed at Riverwind Community Building)*

    1. Yes
    2. No

40. How did you hear about us?*

    1. I live in Coon Rapids
    2. I've attended another event here
    3. Web search
    4. MN Budget Bride
    5. Twin Cities Wedding Association

    1. Meetingpages.com
    2. Facebook
    3. Twin Cities Gateway
    4. Word of mouth/friend
    5. Other

42. I affirm that the above statements are true and I further affirm that I have read and understand all policies and information and that I am 18 years of age or older.

    I affirm that the above statements are true and I further affirm that I have read and understand all policies and information and that I am 18 years of age or older.

44. Signature of Applicant*

45. Date*

47. This application is not a valid contract until appropriate fees have been received by the City of Coon Rapids and the contract is signed by the Facility Coordinator. Applicant will be notified via email when application is approved or denied.

    This application is not a valid contract until appropriate fees have been received by the City of Coon Rapids and the contract is signed by the Facility Coordinator. Applicant will be notified via email when application is approved or denied.

Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit Submit and Print

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