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2. First Name
3. Last Name
5. Phone Number
6. E-mail*
7. Please select*
   -- Select One --Citrus Heights ResidentCitrus Heights BusinessNon-Profit OrganizationNon-Resident
9. Facility*

   1. Citrus Heights Community Center
   2. Sylvan Community Center
11. Date of Event*
    Date of Event
12. Type of Event (Reception, Fundraiser, Celebration of Life, etc.)
13. Maximum number of people*
15. How many hours will you need the room? (This is to include set-up and clean-up. Staff will set up tables, chairs, stages, etc.).
17. How many hours will the event last?
18. Will you be serving alcohol?

    1. Yes
    2. No
20. Type of Set-up*

    1. Banquet
    2. Classroom
    3. Theater
    4. Other
21. Will you require a kitchen?

    1. Yes
    2. No
22. If yes, will you use a caterer?

    1. Yes
    2. No
23. If yes, will you use a preferred caterer?

    1. Yes
    2. No
25. Will you need audio visual?

    1. Screen(s)
    2. Microphones

    Audio Visual Use Fee is $111.00.  
    Microphone- $28.00 each
    Screen/Projector Use- $105.00 each

27. Will you need a stage(s)?

    1. Yes
    2. No

    The Citrus Heights Community Center has 5 stages, each measuring 6'x8'.  Each stage section is $56.00.

28. Will you need a bar?

    1. Yes
    2. No

    The Citrus Heights Community Center has 2 bars available. Each bar is $84.00.

30. Additional Comments
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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