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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
12. Phone Number (Day of Event)
13. Email Address
15. Date Room Requested
17. Meeting Start Time
18. Meeting End Time
20. Description of Event
22. # of Adult Attendees (21 & Over)
23. # of Youth Attendees (under 21)
25. INSURANCE REQUIREMENTS - The City may require liability insurance for use of this facility. If determined so, the City will require insurance and proof of insurance in the form of a Certificate of Insurance naming the City of Snoqualmie as an additional insured. Insurance amounts for use of the premises will be for $1 million general liability coverage each occurrence and $2 million general aggregate. Organizations may have Commercial Liability Insurance or may obtain insurance from the Washington Cities Insurance Authority (WCIA) for certain events. The WCIA may be contacted at www.wciapool.org, phone (206) 575-6046 or Fax (206) 575-7426. The certificate must be submitted to us a minimum of seven (7) days prior to the event date.
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27. 1. Receive an email copy of this form.
28. Email address

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