City Hall Greenspace Rental Reservation Form

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Additional information

• Are you a City of Chamblee employee?
• Department Name:
• Name of event:
• Event date:
• Event time (include set up and breakdown):
• Applicant First and Last Name:
• Phone Number:
• Email address:
• Secondary point of contact (include first and last name, email address, and phone number):
• Description of use:
• Expected number in attendance:
• Will food and beverages be served?
• Will you request removal of the ballards?
• I acknowledge the following (please read and check all):
• I acknowledge that I am required to call the Community Engagement Department at (770) 986-5010 to schedule a site visit, with at least 48-hours notice.
• I acknowledge that I have read, understood, and checked all above terms and conditions.
• I and my affilated organization will indemnify and hold the City harmless with respect to any claims, losses, damages, costs, expenses (including legal fees), or injuries caused by or in any way resulting from activities of the responsible party/group, it’s agents and employees, on said property or otherwise pursuant to this agreement, and the responsible party/group will at its own cost and expense, (including legal fees) defend the City against any claims, suits, or causes of action brought by anyone with respect to any of the aforesaid.
• Please upload your Certificate of Insurance (COI)
• Please upload any contracts with City Departments.
• Please upload your Indemnification and Hold Harmless Agreement