Facility Requested. Xxxxxxxxxxx Pool Date Requested: _
Facility Requested. Date Requested:
Facility Requested. ❑ C Xxxxxxx ❑ Xxx/Rec Adm ❑ C Houston ❑ Mt Xxxxxx ❑ Chinquapin ❑ N J Xxx ❑ C Xxxxx ❑ P Xxxxx ❑ Xxxxxx ❑ Xx Xxxxxx ❑ J Ford Nature ❑ Other: Requested Date(s) Requested Rental Period: Set-up Time am/pm am/pm Event Time am/pm am/pm Clean-up Time am/pm am/pm Type of Room Requested ❑ Small Room (up to 50 occupancy) ❑ Large Room (51 to 125 occupancy) ❑ Exhibit Hall/Large Multi-purpose ❑ Xxx Center Xxxxxxxx Auditorium ❑ Gymnasium ❑ Dance Studio ❑ Kitchen ❑ Other: Standard Room Set-up ❑ Banquet ❑ Boardroom ❑ Theater ❑ U-Shape ❑ Classroom ❑ Hollow Square ❑ Other: List any Equipment/Staff/Supplies the applicant will be providing or contracting for: Will Fees Be Collected? ❑ Yes ❑ No If Yes: ❑ On-Site ❑ In Advance ❑ Both Will Food Be Served? ❑ Yes ❑ No Will alcohol be served? ❑ Yes* ❑ No *Note: A $25 additional nonrefundable fee is required at time of application. Does the organization have liability Insurance? ❑ Yes ❑ No Is this Organization: ❑ Not for Profit ❑ City Resident/Civic Group ❑ Profit RPCA Facility Use Request Form: Sample Purpose of the Event: Event Title for Posting: Target Audience: ❑ Pre Teen (0-12) ❑ Teen/Young Adult (13-21) ❑ Adults (22-59) ❑ Senior Adult (60 & older) Estimated Attendance: Participants Audience Other Total Estimate Is this Event/Activity: ❑ Open to the public ❑ Private (by invitation only) ❑ Other: SPECIAL CONSIDERATION: The undersigned certifies that he/she has read and understands the rules and regulations and responsibilities of the renters of recreation facilities and equipment, and that the same will be enforced and honored by the renting organization. The undersigned further certifies that he/she is a legally authorized representative to act for and accept such responsibilities for the organization. Final approval of this permit is contingent upon approval by the Department of Recreation, Parks and Cultural Activities and receipt of deposit, if required, is submitted. Cancellations made less than 30 days in advance of the rental date may result in forfeiture of deposit. Printed Name Signature Date RPCA May 2007 A nonrefundable deposit of $25, if applicable, must be made within two weeks of approval of this request to hold the reservation. No rental is secure without the deposit. The balance of the fee must be paid in full no later than 30 days prior to the event. If a request is received within 30 days of the event, full payment is due at time of application. A security deposit up to $500, not to exceed the rental amount, is d...
Examples of Facility Requested in a sentence
Date Organization Facility Requested for Use Campus Fees 11-08-19 NJ State Board of Cosmetology Room 6-18 GTC N/A 02-24-20 To administer NJ State Board06-15-20 Licensing Examinations(8:00 a.m. to 3:00 p.m.) Contact: Barbara Ambroise/Jay Malanga*Fees are approximate due to facility availability (e.g. cancellations due to weather conditions).**Indicates a change from a previous board approved motion.
Date Organization Facility Requested for Use Campus Fee12/13/17Advisory Board Meetings (all meetings begin at 8:30 a.m.)GTC/PCN/A01/04, 01/11, 01/18, 02/01, 02/07, 02/15, 02/22, 03/08, 03/14, 03/15, 04/30/18 03/10/18SkillsUSA State Competition Rooms: 5-8;4-13;4-18;4-28GTCN/A(6:00 a.m.-5:00 p.m.)for Plumbing, HVAC/R, and Carpentry *Fees are approximate due to facility availability (e.g. cancellations due to weather conditions).**Indicates a change from a previous board approved motion.
Event: Event Description: Reserved By: Organization: Facility Requested: Event Date: Event Time: Expected Attendance (Approximate): Additional Equipment: Email address to send confirmation: Or Address To Mail Confirmation: City: State: Zip:Phone: Please fill in ALL information.
Signature Date Chief Business Officer Date Facility Requested (Mark all that apply.) Athletic Field Dance Room (Gym) Student Center Athletic Field, Track Gymnasium Student Center Outdoor Quad Atrium, VT Little Theater * Swimming Pool * Board Room Locker Room: M F Classroom(s) Qty: Parking Lot(s) Classroom, Smart Stadium w/ Concession Conference Room, Title V Stadium w/o Concession Conference Room, VT Staff Lounge * Not available at this time.
Date Organization Facility Requested for Use Campus Fee 01/8/15 and Camden County College Cafetorium GTC N/A(snow date: 01/15/15) Open House05/14/15(5:30-7:30 p.m.) *Fees are approximate due to facility availability (e.g. cancellations due to weather conditions).**Indicates a change from a previous board approved motion.
More Definitions of Facility Requested
Facility Requested. Please check all that apply
Facility Requested. HH Gym: ______ CC Gym: ________ Pool Party: ____________
Facility Requested. Date Requested: Time Requested: open: close: (Please allow time for set-up & decorating as well as take down and clean up within your open/close times. Parties may not arrive before the open time to decorate and must be off the property at the close time.) Type of function: Approximate number of quest expected: (Maximum Group Size: Recreation Building-120 Administration Building-50) Facility Resident First 3 hours Resident Add. hours Non-Resident First 3 hours Non-Resident Add. hours Deposit (Refundable) Signature of Applicant/Date Agent, Genoa Township Park District/Date Date Deposit Received Amount Cash/Check # Date Rental Fee Received Amount Cash/Check # This is an agreement between the Genoa Township Park District and the “responsible party” for the use of the facilities in Xxxxxxxxxxx Park, 000 Xxxx Xxxxxx Xxxxxx xx Xxxxx, XX. We the aforementioned do hereby agree to the following terms and conditions as set forth by the Genoa Township Park District. These regulations are to be followed to assure their refund of the re- sponsible party's deposit. Responsible Party:
Facility Requested. Date Requested: Time: Type of Event/Activity: Number of Invited Guests: • If you indicated there will be no alcoholic beverages being possessed or consumed at your event, and it is found to be untrue, you will forfeit your Security Deposit and be evicted from the park. • The Responsible Party is responsible for disclosing the intended use of the Park Shelter. Automatic revocation and forfeiture of your Security Deposit will occur in the event that the information provided to the Town of Cortland is found to be false. • The Responsible Party shall not assign or sub-lease any portion of the premise to another group or person. • Groups without a Not-For-Profit status are prohibited from using the Park of Park Shelter for the purpose of solicitation, profit making or monetary gain. An Admission Fee is not allowed to be charged. Only non-profit 501c3 organizations are eligible to host fund raising events. • The Responsible Party must be present during the entire rental time and is responsible for providing supervision during the use of the shelter and shall not permit any unlawful acts or breaches of public peace. • All activities at the park must terminate at sunset. • The Responsible Party is financially responsible for damages to Town of Cortland property and facilities incurred during or as a result of the event. • Activities should not unreasonably interfere in any way with other park patrons or adjacent property owners. • The Park Shelter must be used in a safe and careful manner, with care taken not to deface, mar, damage, or in any way alter the facility. • Disc Jockeys, Live Bands, Inflatable Rides/Attractions, Canopies/Tents, are NOT permitted in the Park with this Park Shelter Use Agreement. You may make arrangements for portable toilets to be used by your guests at your expense. • Music or amplified sound must be kept at a level so as not to interfere with other users of the Park or nearby residents. • All vehicles are to be legally parked in the street or designated parking areas. Parking on the grass in the Park is prohibited. Consideration and courtesy for the neighbors surrounding our Parks is important and expected. • The Cortland Police Department will monitor the event to ensure compliance with these rules and policies and enforce local ordinances and state laws. They should be contacted by the Responsible Party should assistance be needed in providing security or safety during the event. • If your event is being professionally catered, the R...
Facility Requested. Date Requested: Time Requested: open: close: (Please allow time for set-up & decorating as well as take down and clean up within your open/close times. Parties may not arrive before the open time to decorate and must be off the property at the close time.) Type of function: Approximate number of quest expected: (Maximum Group Size: Recreation Building-120 Administration Building-70) Facility Resident First 3 hours Resident Add. hours Non-Resident First 3 hours Non-Resident Add. hours Deposit (Refundable) RECREATION BLDG $ 90.00 $ 25.00 $ 135.00 $ 25.00 $ 150.00 ADMINISTRATION BLDG $ 50.00 $ 20.00 $ 75.00 $ 20.00 $ 100.00 ADMIN-KITCHEN $ 25.00 $ 5.00 $ 25.00 $ 5.00 Signature of Applicant/Date Agent, Genoa Township Park District/Date Date Deposit Received Date Rental Fee Received Amount Amount Cash/Check # Cash/Check # This is an agreement between the Genoa Township Park District and the “responsible party” for the use of the facilities in Xxxxxxxxxxx Park, 000 Xxxx Xxxxxx Xxxxxx xx Xxxxx, Xx. We the aforementioned do hereby agree to the following terms and conditions as set forth by the Genoa Township Park District. These regulations are to be followed to assure their refund of the responsible party's deposit. Responsible Party:
Facility Requested. Purpose of Requested Use: _______________________________________________________ Date and Hours of Requested Use: _________________________________________________ Equipment and Services Needed: __________________________________________________
Facility Requested. Dates Requested: Hours Requested: Purpose of Use: