top of page

Mary W. Jackson Neighborhood Center

Facility Request Form

Applicant Information

Event Details

Age Group of Participants

Date & Time Request

Start Time
Time
HoursMinutes
End Time
Time
HoursMinutes

Requests must be made no less than 30 days prior to the event date. If a room is requested within 30 days of the rental date, an additional accommodation fee will be added.

This fee is 1.5× the standard rental rate.

Facility Selection & Pricing

  • Multi-Purpose Room w/ Kitchen (Hourly Rate)- $150.00/hour (Capacity)- 40

  • Multi-Purpose Room (Hourly Rate)- $100.00/hour (Capacity)- 40

  • Activity Room #114 (Hourly Rate)- $40.00/hour (Capacity)- 25

  • Activity Room #111 (Hourly Rate) $35.00/hour (Capacity)- 15

  • Gymnasium (Hourly Rate) $200.00/hour (Capacity)- 250

Room Requested

Additional Fees

Facility Use Deposit – $35.00

A $35.00 facility-use deposit is required for all rentals. This deposit is refundable upon satisfactory completion of the Rental Cleaning Checklist and inspection confirming the facility was left in proper condition.

Equipment Fee – $20.00

TV / Podium Fee: $20.00 (optional)

Equipment Needed

Additional Event Details

Are you having music by DJ or Band?
No
Yes
Are you having food at this event?
No
Yes
Will this event be catered?
No
Yes

Terms & Acknowledgment

This is a rental request only. Submission does not guarantee approval.


All requests will be reviewed within 2–3 business days. If approved, you will receive an email containing an invoice. Payment must be completed within 3 days to secure your reservation. If not paid within 3 days, your request will expire and you will need to resubmit a new application. An in-person visit will be required to sign the Facility Rental Agreement before the event date.


Please be sure to check you junk or spam inbox for email updates for your request

CONTACT US

For inquiries or to join us in our mission, feel free to reach out. We're always excited to connect with like-minded individuals organizations. Your involvement could make a significant difference!

Registered EIN: 99-3780042

Address: 231 Lincoln St, Hampton, Va 23669

  • Instagram
  • Facebook

Mary W Jackson trasparent logo.png
bottom of page