Facility Rentals at Rose YMCA

Facility Rental Information

To schedule a Facility Rental, please submit a Facility Rental Request form (form found below) and a Y representative will be in contact.
Meeting Rooms available: Conference Room, ½ Community Room, and Full Community Room.
Facility rentals are available to members and non-members who are part of an organization for non-profit events only.
Certificate of Liability Insurance: A Certificate of Liability Insurance (COI), naming the Butler County Family YMCA as additionally insured may be required in the amount of the group’s maximum liability coverage (minimum $1,000,000.00).
A Facility Rental Request form must be submitted to begin the reservation process.
For complete guidelines, please reference our Facility Rental General Information.

First Name

Last Name

Phone

Are you a member of the Rose E. Schneider Family YMCA or Butler YMCA?

Name of Organization

Primary Contact Name

Primary Contact Phone Number

Primary Contact EmaIl

Requested Date & Time

	Which part(s) of the YMCA would you like to use?
Community Room A	Community Room A
Community Room B	Community Room B
Conference Room	Conference Room
Outdoor Pavilion	Outdoor Pavilion

Community Room A & B are a split room that may be divided in half or used as a full length room.

What do you plan on doing in the space(s)?

Please provide specific details of the purpose of your rental.

Who will be invited to attend?

Please provide specific details of the purpose of your rental.

Will this event be advertised to any outside groups or to the public?

Where will it be advertised?

Please provide specific details of the purpose of your rental.

What will the charge/cost be per participant?

Number of Attendees

Will you charge participants to attend?

If your charge/cost is higher than the YMCA rental fees, please explain why and what you intend to use the additional money for.

Can you provide Certificate of Liability Insurance? (Required for activity-based rentals)

Comments, questions, and/or additional information to be taken into consideration.

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