Restroom Reservations

We are experiencing some difficulties with our web form at this time. Please print this form and mail it with your deposit to ensure your form is delivered on time. We apologize for the inconvenience.

Organization *

Event Date(s) *

Time Needed

Ex: 8:00 AM to 5:00 PM

Address *

City *

State *

Zip *

Responsible Person *

Phone *

Email *

Conditions for use:

No dogs/pets allowed on site at any time.
No alcohol.
No smoking allowed in any building.
Pick up and remove all trash from site and sweep meeting house.
Parking in front lot/field or rear field. Please use common sense when grounds are wet to prevent getting vehicles stuck and making ruts on the grounds.
No set-ups or parking on the cemetery side of the thru road as there are unmarked graves in that area.

Restroom fee:
$100 for use of the restrooms which will help cover costs for water, electricity, paper and cleaning products.

Cleaning/Damage deposit:
A $100 cleaning/damage deposit, which is fully refundable if you choose to do all of the cleaning of restrooms (see Expectations for Cleaning of Restrooms) and meet above conditions. Otherwise we will keep the cleaning deposit.

Please mail checks to:
Red River Meeting House & Cemetery, Inc.
% Richard Moore
2459 Trimble Rd.
Adairville, KY 42202

I have read and understood the above.

Signature *

Date *

Month

Day

Year

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