Facility Request | The FASNY Firemen’s Home

(Requests must be submitted 60 days prior to use date)

FASNY strictly prohibits smoking on all FASNY property inclusive of ALL indoor and outdoor areas.

Type of Request*

Does Event Involve Firemen’s Home Members?*

Room Requested*

Description of Activity*

Organization Name*

Date of Event*

Start Time of Facility Use*

:

End Time of Facility Use*

:

Organization Address*

Street Address Address Line 2 City State ZIP Code

Contact Name*

First Last

Home Phone

Work Phone

Cell Phone

Email*

Event Name/Description*

Select All Event Needs/Requirements

How Many Tables?*

How Many Chairs?*

Select Configuration*

List Your Other Needs/Requirements*

Description of What FASNY Buildings/Facilities/Grounds is being requested for use*

FASNY Staff Required*

FASNY Staff Services

(services may be billed to user)

Will there be sales of food, beverages, merchandise, etc.?*

Please describe sales*

Does your organization have insurance?*

Insurance Document*

Please download and complete the Applicant Service Agreement.

Upload Completed Applicant Service Agreement*