RENTAL INQUIRY FORM
Tukwila Community Center
12424 - 42
nd
Ave. S. Tukwila, WA 98168 206-767-2322/Fax 206-767-2346
rentals@tukwilawa.gov
Completing this Rental Inquiry Form does not constitute a guarantee or a contract. Availability is subject to review and
scheduling by the TCC Rental Office. Please allow 2-3 business days for a response.
PLEASE TELL US ABOUT YOURSELF
Organization:
Contact Name:
Day Phone:
Email:
Address:
City, State:
Zip:
Alternate Contact:
Day Phone:
Email:
We are a Non-Profit Organization:
Will require proof of 501(c)3 status
PLEASE TELL US ABOUT YOUR DESIRED EVENT
Name of Function:
Desired Room(s)
and/or Equipment:
Date(s):
Event Start Time:
Event End Time:
Rental* Start Time:
Rental* End Time:
*Rental times include set-up & clean up time.
Estimated Attendance:
Total
Youth Under 21
MARK ALL THAT APPLY:
Alcohol Will be Served
Requires an Alcohol Beverage Request Form at least 30 days before event and is subject to approval.
Event is Open to Public
DJ/Band
Other
List ___________________
PAYMENT INFORMATION
VISA
MASTERCARD
Name on Card:
Card #
Expiration Date
CCV#
By checking this box, I hereby warrant and certify that I am the authorized representative of the Organization/Individual named
above, that the statements are true to the best of my knowledge, and that our Organization and I agree to be bound by the
regulations and policies governing the rental use of the Tukwila Community Center as listed.
By checking this box, the organization and individual listed above shall indemnify and hold harmless the City of Tukwila, its
officers, employees, agents and elected officials from and against any and all claims, suits, actions, or liabilities for injury or
death of any person, or for loss or damage to property, which arises out of the use of Tukwila Community Center or from the
conduct of the Organization’s or individual’s business, or from any activity, work or thing done, permitted, or suffered by
Organization/Individual in or about the Tukwila Community Center, except claims, suits or actions occasioned by the sole
negligence of the City of Tukwila.
Name: __________________________________________________________ Date: _____________________________