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Starkey Building Reservation Request Form

  1. The Starkey Building, a small historic building, is adjacent to Festival Plaza in Old Town Lafayette. The building is available for meetings, and other private functions during regular business hours, Mon. - Fri. 8 am - 5 pm. A fee of $25 will be charged per use. To reserve the Starkey Building, complete and submit the form below. Please allow 1-2 weeks for processing.
  2. Facility User (check all that apply)
  3. Include time needed for event set up and clean up.
  4. Include start and end time of the event.
  5. Please provide a brief description of the event/activity/meeting, if there will be amplified music, alcoholic beverages, sales of merchandise and/or commercial signage. Requests to turn off the water feature must be made in writing and must be approved by the Director of Arts & Cultural Resources. However, it is the city's intent not to turn off the water feature for events on a regular basis.
  6. If you have a supplemental document, such as a certificate of insurance, please upload it here.
  7. Liability Waiver/Indemnification Agreement:
    By submitting this reservation request, I agree that I have received, read, understood and agree to comply with the Rules and Regulations for the Starkey Building usage. a. I hereby fully release and discharge the City of Lafayette, its officers, agents and employees from any and all claims from injuries, including death, damage or loss, which may arise or which may be alleged to have risen out of, or in conjunction with, the above meeting(s) or event(s) at Starkey Building. b. I further agree to indemnify and hold harmless and defend the City of Lafayette, its officers, agents and employees from any and all claims resulting from injuries, including death, damages and loss, which may arise or which may be alleged to have arisen out of, or in conjunction with, the above event(s) at the Starkey Building.
  8. I have read the Rules and Regulations. I agree to the Rules and Regulations. I understand and agree to the liability waiver/indemnification agreement.
  9. Leave This Blank:

  10. This field is not part of the form submission.