RARA Building Use Request Form

Organization Name *

Contact Name *

Phone Number

Email *

Website

Would you like to rent the space for a one-time event or on an ongoing basis? *

When would you like to rent the space? Please include specific times. *

Would you like to use the kitchen? *

If yes, describe how you intend to use the kitchen and whether you wish to use RARA's equipment.

Possible equipment includes refrigerator, oven, pot, pans, serving dishes, etc.

Will you use the stove/oven?

If yes, do you have insurance that covers liability and property damage?

How many people do you expect to attend? *

What is your purpose of renting the RARA space? *

Briefly describe how your use of the space advances RARA's mission. *

Mission: To aid Rockbridge area households in a time of emergency when help is needed to meet life’s basic needs.

Briefly describe how this use will address issues related to poverty or health in the Rockbridge community. *

Rockbridge Area Relief Association