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4. 

6. Thank you for your interest in renting The Cove! Please fill out the following information, and someone from the Derby Rec will reach out to you via email or phone call within 48 hours. 

8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Phone Number*
20. Email Address*
22. Artist Type*

    1. Solo Artist

    1. Band
23. Music Genre*
    -- Select One --CountryPopHip Hop/RapOther
25. Date/Time Requested*
    Date/Time Requested

    Date/Time Requested
26. Number of Hours Requested*
    -- Select One --1 Hour2 Hours3 Hours4 Hours5 Hours
28. Number of Guests*

    1. 0 Guests
    2. 1 Guests

    1. 2 Guests
    2. 3 Guests

    1. 4 Guests
    2. 5 Guests
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field