2. Please completely fill out the form below and submit. Where there are check boxes, please check each one to acknowledge the information. Please ensure you have registered your group prior to submitting a Facility Use Request. Follow the link below labeled, "Community & Neighborhood Group Policies" to register. A staff member will contact you soon about your facility request.

4. Free Group Rental Guidelines
   Community & Neighborhood Group Policies
5. Available Spaces to Rent
   Rental Spaces
7. Organization Name*
9. Contact, First Name*
10. Contact, Last Name*
12. Phone number*
13. Email address*
15. Event Information
17. Facility Selection*
    -- Select One --Cederholm Golf Course Community BuildingHarriet Alexander Nature CenterMuriel Sahlin ArboretumPark Building: Autumn GrovePark Building: LexingtonPark Building: OasisPark Building: RosebrookPark Building: SandcastlePark Building: VillaPicnic Shelter: FOR ParksPicnic Shelter: FoundationPicnic Shelter: JayceesPicnic Shelter: LionsSkating Center Banquet Facilities

    Please visit our rental spaces page (link found above) to learn more about each individual rental space.

19. Requested Use Date*

    Example: 11/18/21

20. Requested Time Frame*
    Example: 10:00 am - 3:00 pm
21. Estimated Event Attendance*
23. Detailed description of meeting content/purpose for which no-cost facility use is requested:*
25. Acknowledgements & Comments
27. We acknowledge both of the following:*

    1. Current 501(c)3 documentation for our Community Group is on file with Roseville Parks and Recreation
    2. Organization is Registered Roseville Community Group. If not, visit our Community and Neighborhood Group Policies.
29. Comments about our Community Group's 501(c)3 non-profit documentation and Roseville Community Group registration status:
31. We acknowledge all of the following about our Community Group:*

    1. Service to Roseville residents is the central component of our organization's mission.
    2. 50% of our group membership consists of Roseville residents.
    3. Requested facility use is open to all Roseville residents and is non-discriminatory and non-political in nature.
    4. Our group may schedule up to 12 dates annually for no-cost facility use.
    5. Requested date falls between Monday and Thursday, and is not on a major holiday.
    6. Facility request is being made 10-90 days in advance of preferred date of facility use.
33. Comments about the above:
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field