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Rental Applicant Information

2. Date of Application
   Date of Application

4. First Name

5. Last Name

7. Address1

9. Address2

11. City

12. State

13. Zip

15. Home Phone

16. Mobile Phone

17. Business Number

19. Room(s)/Facility Requested:

21. Colonial Park, 4130 Byron St.

    1. Exclusive

23. Activity/Rental Information:

25. Date (s)*
    Date (s)

26. Type of Activity

28. Start Time*
    Start Time

29. End Time*
    End Time

31. Estimated Attendance

33. I agree to indemnify and save harmless the City of West University Place and its employees, elected and appointed officials, and agents from any and all liability from claims of bodily injury, property damage, or any other nature whatsoever arising out of the use of City of West University Place properties herein specified. I have received a copy of the Reservation and Facility Use Policies and agree for myself and for the organization named above to supervise all activity on the premises, and to comply wit h and enforce the Parks and Recreation Reservation and Facility Use Policies formulated by the Parks and Recreation Department for the use of buildings and facilities; and to adhere to all specifications and limits listed.

    I agree to indemnify and save harmless the City of West University Place and its employees, elected and appointed officials, and agents from any and all liability from claims of bodily injury, property damage, or any other nature whatsoever arising out of the use of City of West University Place properties herein specified. I have received a copy of the Reservation and Facility Use Policies and agree for myself and for the organization named above to supervise all activity on the premises, and to comply wit h and enforce the Parks and Recreation Reservation and Facility Use Policies formulated by the Parks and Recreation Department for the use of buildings and facilities; and to adhere to all specifications and limits listed.

35. I have fully informed myself of the contents of this agreement and all reservation and facility use policies prior to submitting below.

    I have fully informed myself of the contents of this agreement and all reservation and facility use policies prior to submitting below.

37. Renter

38. Date*
    Date

40. Staff

41. Date
    Date

43. Approval Process:

45. Exclusive rentals are confirmed based on availability and staffing and will be not confirmed until management has contacted you and communicated approval.

    1. I Acknowledge and Agree

47. Fees:

49. Resident $400 per hour - Minimum of 2 hour reservation - Rental Deposit of $200 per area rented. Deposit must be paid by credit card

    1. I Acknowledge and Agree

51. Policies:

53. Allows up to 250 guests. Overages will result in $5 per person being deducted from deposit. Rental time must include set-up, clean-up, and take-down. Renter must clean areas utilized prior to departure, failure to do so may result in a $45 fee . You may put food on the counter but are not allowed behind the counter at any time . All items (catering, coolers, etc.) and guests must come through main entrance. Storage of any kind is not permitted, including day of, prior to or following rental . All outside vendors, other than general food caterers must be approved. Please see pages 6 of Rental Guidebook for an extensive list of prohibited items.

    1. I Acknowledge and Agree

55. Cancellation Policy:

57. All changes and/or cancellations must be submitted in writing at least 14 days prior to rental. A cancellation fee of $50 will be charged at that time. If cancellation procedure is not followed, no funds will be issued. Please see page 4 of the Rental Packet to for specific procedures to follow when cancelling or changing rental. Inclement Weather: Refund requests due to inclement weather will only be considered in extreme conditions, and if the weather occurs during the hours specified on the rental agreement. Please see page 4 of Rental Packet for more info on weather and non-weather related pool closures.

    1. I Acknowledge and Agree

59. Rental Packet:

61. Rental Policy Guidebook will be emailed to customer. Customer understands and agrees they are responsible for understanding and abiding by all policies within.

    1. I Acknowledge and Agree

63. By clicking submit, you are indicating that you have read the Policies and agree to the Terms of Service.

Leave This Blank:


65. Submit

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