Banquet Room Rental Application Form
This application must be filled out completely. Appropriate fees and deposits must accompany this form
prior to the application being approved.
Date requested:
______________________________________________________
Date of application:
______________________________________________________
Name of applicant:
______________________________________________________
Home phone:
______________________________________________________
Work phone:
______________________________________________________
Name of organization:
______________________________________________________
Name of bride and groom:
______________________________________________________
Room requested:
_____Full Banquet Room
_____ Room C & D
_____ Room A & B
_____ Room C
_____ Room D
_____ Room A
_____ Room B
_____ Lounge
_____ Performing Arts Theater
Purpose of use:
______________________________________________________
Time guests expect to arrive: ______________________________________________________
Alcoholic beverages served: ______________________________________________________
Total number anticipated:
______________________________________________________
This application will be reviewed by the City of Maplewood. Upon approval of the applicant will receive a
permit and rental agreement to use the facilities for the use stated on the date specified. If alcoholic
beverages are served a Maplewood Police Officer is required to be present at the event. The fee for this
service is $35/hour.
Please make checks payable to the “City of Maplewood”.
Signature of applicant: ______________________________________________________