Primary Contact *

First Name

Last Name

Phone *

(###)

###

####

Co-Host

(if different than above)

First Name

Last Name

First Choice: *

MM

DD

YYYY

Second Choice:

MM

DD

YYYY

From:

(The time you arrive to set up)

Hour

Minute

Second

AM PM

To:

(Don't forget to build in at least 30 minutes after your event ends to take down decorations, return furniture that was moved, load up your car, etc)

Hour

Minute

Second

AM PM

Choose one of the following: *

I would like to bring in my own food, drink*, and tableware (plates, utensils, cups, napkins). *Alcohol is permitted.

I would like to purchase food and drink at Poly's. Barista Service will be provided at no extra charge

Want to bring in your own food and drink but need a little help?

I would like more information on select pre-ordered menu items for large groups.

Cleaning Options:

I choose to waive the $50 fee and agree to complete the light cleaning list, so that I leave Poly’s in the condition that I found it.

I choose to pay the $50 cleaning fee, but agree to remove all of my decorations, throw away my garbage and return furniture pieces to their original positions.

When I am ready to secure my date, I would like to pay my $100 deposit using the following method:

I will Venmo you. (Please do not check the box on Venmo payment page that says "Turn on for Purchases" or a 3% fee will occur. Please ask if you have any questions regarding this.)

I will swing by Poly's with cash or a check.

I will coordinate payment with you using my credit card (3% processing fee will be added).

Please review the Private Use Policy: *

I have read the Private Use Policy