Primary Contact's First Name

Primary Contact's Last Name

Primary Contact's Email Address

Primary Contact's Phone Number

Type of Rental Group (select one):
(Required)

Requested Event Date 

Requested Event Time

Spaces Requested (select all needed):
(Required)

What type of room setup will you need? (select all needed):
(Required)

Will you need AV?
(Required)

Will food or beverages be served?
(Required)

Will alcohol be served?
(Required)

How did you hear about the GSLC as a rental venue?
(Required)

Please acknowledge the following:
- I understand that submitting this form is a rental request and does not guarantee availability or confirm a reservation.
- I understand that my requested rental time must include any time needed for setup and cleanup.
- I understand that all rentals are subject to GSLC policies, availability, and applicable rental rates.
- I understand that additional fees may apply for certain rooms, equipment, services, setup, or other rental needs that will be written clearly into my invoice.
- I agree to follow all GSLC rules, policies, and instructions provided by Girl Scouts Heart of New Jersey staff.
- I understand that my rental request is not confirmed until I receive confirmation from Girl Scouts Heart of New Jersey.

(Required)