Reservation Form

Date of Activity:
Guest Information:
      Contact Person Name:
      State:                         Zip:      
      Telephone Number:           Fax Number:      
Activity Name:
(what you would like
posted on the marqee:)
Size of groups: (max.45)
Room Arrangement:
Caterers should be instructed to deliver food to this address:
Madison Lakes
581 Olive Road
Dayton, OH 45427
Please contact us for Rates and Fees at
If there are any changes needing to be made you may do so with 24-hour advance notice. If you do not call to cancel your reservation within 72 hours of the event, you will be charged the room rental fee.
Questions? Contact the Human Resources Department at