Rental Application

Rental Application

Public application for renting space at Salt Lake County Senior Centers.

Senior Center Rental Information

Rental Rates and Information

Primary Contact Name*

Title (Primary Contact, if applicable)

Alternate Contact Name*

Title (Alternate Contact, if applicable)

Organization

Non-Profit*

Please upload documentation. Non-Profit/Government Pricing - 20% Discount for verified 501(c)(3) groups

Select

Address*

City*

State*

Zip Code*

Primary Phone*

Phone

Secondary Phone*

Phone

Primary Email*

Secondary Email*

Event/Activity Name*

First Day of Event*

Will this rental be more than one day?*

Yes

No

Additional Dates

Estimated Number of Attendees*

Liability Insurance Company

Please upload documentation of insurance information.

Set up Time*

(Start and end time ex: 4:30pm-5:00pm)

Event Time*

(Start and end time ex: 5:00pm-7:00pm)

Clean up Time*

(Start and end time ex: 7:00pm-7:30pm)

Location*

Select

Size of Space Needed (DRA, MAG, MIL, MID, RIV)*

Extra Large(>3000 sq. ft.) $230.00

Large (2,000-3,000 sq. ft.)$180.00

Med (1,000-2,000 sq. ft.) $130.00

Small (< 1000 sq. ft.) $80.00

Size of Space Needed (LIB, KEA, TEN, SAW, MTO)*

Extra Large (>3000 sq. ft.) $190.00

Large (2,000-3,000 sq. ft.) $150.00

Med (1,000-2,000 sq. ft.) $110.00

Small (< 1000 sq. ft.) $75.00

Additional Supplies

Supplies and availability may vary by location.

Audio System / Podium $10

up to 25 extra chairs

26-50 extra chairs

1-5 extra tables

6-10 extra tables

Other (discuss with Center Manager)

None

Does your event plan to sell merchandise?*

The sale or promotion of goods and services is not permitted under AAS’ standard form Senior Center Rental Agreement. If a Renter requests to use an AAS Senior Center for commercial reasons, the request will need approval from Division leadership and will require a separate lease agreement.

Yes

No

Merchandise/ Promotional Product to be sold?

File Upload

Drag and drop files here or

Send me a copy of my responses

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