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Urban Adamah | Site Rental Intake Form
SITE RENTAL
INTAKE FORM
Thank you for your interest in renting space on our farm! Please fill out this form so we can get a sense of your needs.
Please note: This form DOES NOT confirm your reservation. Please complete the form to the best of your ability and include any questions in the section indicated below.
Your Information
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First Name *
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Last Name *
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Email *
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Address *
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Address 2
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Vatican City
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Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country *
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Select...
Yes
No
Have you visited Urban Adamah before? *
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How did you hear about our site rental program? *
Your Organization
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Select...
Yes
No
Are you inquiring on behalf of a business, 501(c)(3) non-profit, or other organization? *
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Name *
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Nonprofit
Business
Government
Other
Type *
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Please specify your organization type *
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Select...
Under $500,000
$500,000 or More
What is your annual operating budget? *
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Website
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Phone *
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Address *
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Address 2
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City *
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Select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
D.C.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New Jersey
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
(AU) Australian Capital Territory
(AU) New South Wales
(AU) Victoria
(AU) Queensland
(AU) Northern Territory
(AU) Western Australia
(AU) South Australia
(AU) Tasmania
(ZA) Gauteng
(ZA) Western Cape
(ZA) Eastern Cape
(ZA) KwaZulu Natal
(ZA) North West
(ZA) Northern Cape
(ZA) Mpumalanga
(ZA) Free State
My State is not listed
State *
settings
Zip *
settings
Select...
United States
Canada
United Kingdom
Afghanistan
Åland
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia (Local Name: Hrvatska)
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
São Tomé and Príncipe
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country *
Event Details
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Date and Time Details *
Tell us as much or as little as you'd like about the dates and timing of your event.
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Select...
Bat or Bar Mitzvah
Birthday Party
Class
Farm Tour
Meeting
Performance
Reception
Retreat
Wedding
Other
Type of Event *
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Please specify your event type *
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Select...
1-hr farm tour for $250
2-hr interactive tour $350
Discuss with a staff member
What type of farm tour are you interested in? *
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Anticipated number of guests *
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Select...
Yes
No
Will you require overnight accommodations? *
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How many guests will require overnight accommodations? *
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Select...
I will be hiring a caterer
I will provide my own food to my guests
Food will not be served at my event
I don't know — I need to talk to a staff member
Will you require catering? *
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How many guests will require catering?
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Anything else you'd like to share with us?
After submitting this form, a staff member will review your information, check to see if your requested dates are available, and then be in touch. You can expect a response within 1 week of submitting this form.
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Submit
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ABOUT
EVENTS
YOUTH
YOUNG ADULTS
FARM
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