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EVENT INFORMATION EVENT TYPE: Family/Social Gathering Business Meeting Classes/Seminar/Workshop Wedding/Reception Teen Parties/Dances Production/Special Event Other: EVENT NAME: EXPECTED ATTENDANCE: (please include children and staff) REQUESTED EVENT DATE(S) & TIME(S): Date(s) Set-up Start Time Event Start Time Event End Time Rental/Clean-up End Time Please check “Yes” or “No” for each of the following. Is your event open to the public? Yes No Are you advertising to the public? Yes No Are you charging admission? Yes No Will you be serving food or beverages? Yes No Will you be serving alcohol? Yes No Will there be live or amplified music? Yes No Are you hiring a third party vendor? Yes No Will you be decorating the facility? Yes No Are you renting equipment from another company? Yes No I am aware that to serve alcohol at rental events I must have a Washington State Banquet Permit or Special Occasion License and have it prominently displayed in the rental facility. I am aware that I will be required to obtain special event insurance if serving alcohol at the rental event. I am aware that alcohol is strictly limited to beer, wine and/or champagne, and that service of hard alcohol (over 15%) will result in immediate termination of the event with no refund. Failure to fully disclose all information or providing false information will result in the forfeiture of all fees and cancellation of the event. Signature Date Marysville Opera House 1225 3rd Street Marysville, WA 98270