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Merrick Activity Center Rental Page


Once your security deposit and signed rental agreement has been received by our office, your date will be officially reserved on our calendar.   If you have a technology glitch filling out this form or any questions, call Merrick Foundation, Inc. at 308-946-3707.


Please check our calendar here for availability prior to booking:   **Room Rental Calendars**

Description of Event:
Date of Event:
Will alcohol be at the event?

If alcohol is going to be at the event, the host agrees to general liability insurance for the scheduled event with limits of no less than $1,000,000.00 per occurrence and $50,000.00 medical payment per occurrence under the existing commercial general liability, homeowners’, or farm owners’ coverage of Host naming the Merrick Foundation Board of Directors and Merrick Foundation, Inc., as an “Additional Insured” under such policy of insurance. Proof of coverage must be provided prior to signing of this Facility Use Agreement. Coverage must be validated 10 days prior to event date. Your agent can email the liability binder to email

First Name
Last Name
Address Line 1
Postal Code

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Payment Options:
Select a Payment Method
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Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

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Your total payment will be

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