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2. Name of Applicant (Group/Organization)*
4. Group/Organization Leader Name*
5. E-Mail Address*
6. Telephone Number*
8. Co-Leader Name*
9. E-Mail Address*
10. Telephone Number*
12. Group Address*
13. Purpose of Reservation*
15. Estimate Total Attendance for Your Group*
16. Please Indicate Type of Refreshments or Food to be Served by Your Group*

    Please note that no red beverages may be served and all drinks must have a lid. 

18. What dates are you looking to reserve the room?*
19. What times would you like the doors unlocked?*
21. What times would you like the doors locked?*
22. Which room are you looking to use?*

    1. Large Community Room
    2. J.B. Henderson Room
23. I understand and will comply with all reservation procedures. I also understand that the City of Westlake Village reserves the right to cancel any reservations with 48 hours notice.*

    Please upload the Community Room Authorization Form in the PDF Format. Form available on the main Community Room Page. 

25. Please upload your insurance forms here. *

    The City requires two valid insurance forms- a Certificate of Liability and a Separate Endorsement of Additional Insured, both naming the City of Westlake Village, its officers, officials, agents, employees, and volunteers as additional insured with our address 31200 Oak Crest Drive Westlake Village, Ca 91361. Forms must be submitted in a PDF form.

26. Please upload the Hold Harmless form here. *

    The form is available on the main Community Room page. Please upload in the PDF format.

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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field