**THIS FORM IS NOT COMPATIBLE WITH CELL PHONES**
Please contact the Public Works Department at (540)463-3154 to
tentatively schedule a facility request before submitting this form.
Event sponsor, if any
List the name, address, and phone number of three people to serve as representatives of the organization.
The above information is true to the best of my knowledge and belief. I understand that this reservation is not confirmed until written approval is received.