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Rent a Classroom Form
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Moraine Park Facilities
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Rental Guidelines
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Rent a Classroom Form
Contact Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Business Name
(Required)
Business Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Federal Tax ID # (Not Sales Tax Exempt #)
(Required)
Have you rented space at MPTC before?
(Required)
Yes
No
Is your organization a Non-Profit 501c?
(Required)
Yes
No
Will there be any government officials attending your event?
(Required)
Yes
No
If yes, list their name(s):
Campus Location
(Required)
Fond du Lac
Beaver Dam
West Bend
Horicon
Event/Meeting Title Name
(Required)
Event/Meeting Date
(Required)
Reservation Start Time / Reservation End Time
(Required)
Number of Attendees
(Required)
Accessibility accommodations needed:
Designated Seating for Wheelchair
Sign Language Interpreter
Assistive Listening Device
Captioning Services
Accessible Presentation Materials
Service Animal Accommodation
Seating near the front of the room
Dietary Accommodation
Bariatric Chair
Ergonomic Chair
Swivel Chair
Adjustable Footrest
Room Lighting Accommodation
All classrooms are equipped with a computer/projector/doc cam. If you have any additional technologies needs please note them here.
Additional requests or questions, please note them here.
Catering Information
Full cafeteria and catering services are available weekdays during the school year until 2:00pm. For menus and ordering information visit
mptc.catertrax.com
. Outside catering is only allowed during our winter, spring and summer breaks.
Consent
I understand that this form does not guarantee a reservation.
I understand that an MPTC Representative will be in contact with me about this request and I can follow-up by calling 920-924-3223 if needed.
I agree to the terms of the Liability/Insurance Requirements.
I agree to the terms of the
Rental Guidelines
I agree
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