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? *

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