Community Support Nonprofit Access Form

Community Support Nonprofit Access

"*" indicates required fields

Organization*

Contact Person*

First Last

Phone*

Email*

Please list the first and last names of all staff/clients receiving access under your organization. You can also upload a contact list below.

These will be the only people permitted access to the facility from your organizaiton. Please contact Sue (slottes@oldtownhotspring.org) if you need to update your contact list. Contact updates can be made with 7 days notice.

Staff/Client Names Upload

Max. file size: 256 MB.

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