2. Name*
3. SMARTlink Barcode*
5. View this link if you do not have a SMARTlink barcode or if you can't remember your SMARTlink barcode.
   SMARTlink site
7. Address*
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Email*
16. Residency*

    1. Prince George's County Resident
    2. Not a Prince George's County Resident
18. Event Date & Time*
    Event Date & Time

    Event Date & Time
    Permittee shall submit a completed application for facility use at least one month prior to event date.
20. Event Name*
22. Event Location*
    Provide the Community Center name.
24. Event Address*
26. City*
27. State*
28. Zip*
30. Event Description*
32. Number of People Expected to Attend*
34. Group*

    1. Governmental
    2. Partner
    3. Religious
    4. School
    5. Service Organization
    6. Special Requests
    7. Other
35. Activity*

    1. Community Service
    2. Cultural
    3. Educational
    4. Recreational
    5. Scholarship
    6. Social
    7. Workshop/Seminar
    8. Other
36. Purpose*

    1. Non-Profit
    2. Private/For Profit
    3. Other
37. Are you charging a fee?*

    1. Yes
    2. No
39. Other
    Describe other group.
41. Other
    Describe other activity.
43. Other
    Describe other purpose.
45. Fundraisers are prohibited. The consumption of alcoholic beverages is prohibited. In submitting this application, I hereby confirm that I am familiar with the rules regulations governing during hours use of community centers and that any changes from the original request requires approval prior to the day of use.

    1. I agree
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field