Space Leasing Request Form

Type of Event/Purspose of Use:

Requested Space(s)

Is your event 1 day or multiple days?

Section 3:  Requirements & Equipment

Do you need access to the kitchen or having food catered?

The applicant is responsible for the conduct of all guests.

No alcohol, drugs, unlawful activity permitted on mosque premises.

The space must be returned clean and in original condition.

The mosque reserves the right to deny or cancel any reservation.

A deposit may be required to confirm your booking.                                                               * Minimal $750 donation requested to cover maintenance/utilities.                                            This does not include cleaning.

I have read and agree to DMS leasing policies.

Space Leasing Request Form

Dayton Mercy Society

Section 1: Applicant Information