Village House Rental Form – Kenilworth Park District

* All fields are required

Name *

Email *

Phone

From Hours ampm

To ampm

Date of RentalUse Date*

Purpose of Rental *

Are you a Kenilworth Resident? Are you a Kenilworth Resident? YesNo

Are you a Kenilworth Organization? Are you a Kenilworth Organization? YesNo

Fees

Kenilworth Resident & Organization: $50 – Up to 4 Hours of Rental Non-Resident: $100 – Up to 4 Hours of Rental Cleaning Fee: $50 (per Rental)
Once staff has reviewed your request and if approved, an invoice will follow which must be paid within 24 hours of receipt. If approved, Staff will send you instructions on how to pick up the key to the Village House.

I have read the Rules and Regulations governing the use of the Village House