The Shore House

Name *

First Name

Last Name

Phone *

(###)

###

####

Please classify the event/organization here:

Church

Nonprofit

Business

Individual

What date are you hoping to use space? *

MM

DD

YYYY

What space are you hoping to use: *

Bathrooms / Parking Lot will be available for any spaces used.

Kitchen / Dining Room

Front Room

Back Room

Porch

Outdoor Space / Firepit

Entire House / Outdoor Space

Will you need:

Refrigerator Space

Stove / Oven Use

Microwave Use

Shower Use

Laundry Use

Firepit Use