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Information Request Form for Special Event Rentals

  1. Overview

    Are you interested in renting one of the available building or rooms at Madison Avenue Central Park (the Venue, Pavilion, picnic shelters, amphitheater, event lawn), Warren Riverview Park (The Lodge or open shelter) or the Derby Public Library (Community Room or Frank Fanning Room)? Please fill out the form below and we will get back to you. All items marked with a * are required.

  2. Please note:

    Submission of this form does NOT constitute a confirmed reservation.

  3. Please use this format: XXX-XXX-XXXX

  4. Please provide your choices of dates for your rental. Please indicate which date is your first preference.

  5. Please provide a brief description of your intended event (e.g., wedding ceremony only, wedding ceremony and reception, business meeting, conference with breakout sessions, family reunion, class reunion, etc.)

  6. Please indicate what room, building or other facility you would like to rent.

  7. How many guests do you expect to attend your event(s)?

  8. Food*

    Will food be served at your event?

  9. Alcohol*

    Will alcohol be served at your event?

  10. Please provide an idea of what kind of setup you will need for your event (tables, chairs, stage, lectern, etc.).

  11. Provide any additional information that you feel would be helpful.

  12. Leave This Blank:

  13. This field is not part of the form submission.