Date Requested. Times Requested: Setup Time: Room(s) requested: Number of People Attending: List of Amenities Requested (ie. Kitchen, podium, etc.): Applicant Signature: Date: , 20 Staff Signature: Date: , 20 Make Check or Money Order payable to: “West Hanover Township”. Any check returned for insufficient funds or on which payment has been stopped will result in automatic cancellation of the Community Center Facilities Agreement and will be charged a $25 service fee. Please submit fees, completed Community Center Facilities Agreement, Floor plan, and Waiver to: West Hanover Parks & Recreation - 000 Xxxxxx Xxxxxx, Xxxxxxxxxx, XX. 00000. THIS SECTION TO BE COMPLETED BY PARKS & RECREATION STAFF Date Paid: Rental Fee + Amenities: Discount: Total: Security Deposit: Total Amount Due: Payment Information: Cash Credit Card Check # Payment Amount: Amount Due: (This amount due 30 days prior to rental) WEST HANOVER TOWNSHIP PARKS AND RECREATION RELEASE AND WAIVER OF ALL CLAIMS AGREEMENT REGARDING RISK OF INJURY AND RELEASE AND WAIVE OF ALL CLAIMS I hereby apply to the Township of West Hanover to rent and use the facility, or facilities as mention in the attached agreement, for a private and/or public function during the time frame of (date), (time) I understand that by renting this or these facilities I will expose myself and my guests to normal risks of injury or harm associated with nature, events, classes, meetings and activities. I agree that I am responsible for my own safety. I agree to abide by all rules and regulations in regards to the Community Center use. I agree that I am responsible for my guest’s safety to the point of producing a safe event or activity during the length of this contract. I hereby assume all risk and responsibility of damage to the property of the Township of West Hanover as it relates to my event and my use and/or misuse; and hold the Township of West Hanover, its agents and representatives harmless for any and all suits relating to the use of Township owned facilities. I hereby agree to protect, indemnify, save, keep, and hold harmless the Township of West Hanover, its elected and/or appointed officials, its agents, servants and employees, against and from any and all claims, causes of action or liability, loss, damage or expense, brought by me or on my behalf or by my guests or on their behalf, arising out of the use of the Township facilities and the activities conducted therein or thereon for which I have made application to the Township to use f...
Date Requested. Time Requested: open: close: No one will be allowed in the pool area until 6:00 pm. You are responsible for any and all clean up including but not limited to; garbage, decorations, tables etc. You must be cleaned up by the time that you agreed to in your pool use agreement. Approximate number of quest expected: RENTAL COSTS: $ 50.00/Hour Resident $ 75.00/Hour Non-Resident SECURITY DEPOSIT: $ 75.00 STAFF COSTS FOR POOL RENTALS STAFF REQUIREMENTS Number of Patrons Main Pool Only 50—200 200 and up Staff Required 6 Feature Staff Required Wading Pool w/ Main Pool Small Blue Slide Bowl Slide Wading Pool Only 4 Total # of Staff X $12.50/Hour X Number of Hours = Total Staff Cost: $ Fees should be paid with two separate checks for bookkeeping purposes. Deposit is due at the time of the booking. Rental payment is due no later than two weeks before the rental. Signature of Applicant/Date Agent, Genoa Township Park District/Date Office Use Only Date Deposit Received Amount Cash/Check # Date Rental Fee Received Cash/Check # Amount This is an agreement between the Genoa Township Park District and the “responsible party” for the use of the fa- cilities 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 fol- lowed to assure their refund of the responsible party's deposit. Responsible Party: _
Date Requested. HOW REQUESTED: PHONE LETTER FAX OTHER
Examples of Date Requested in a sentence
Date Requested – Please provide the date the WLA was filled out and sent to the DNR WLA staff.
Employer’s Legal Name Employer’s Tax ID# Employer’s Business Address City State ZIP Code Firm Contact Title Telephone ( ) Fax ( ) E-mail address Effective Date Requested / / Years in Business SIC Code & Nature of Business Preferred method of billing: □ Electronic* □ Paper * For firms applying for Dental/Vision, Electronic billing not available.
GENERAL Date Requested: Successful Proponent Name: Successful Proponent Phone: CONTACT INFORMATION Provide the contact information for the party requesting the Aerial Attachment on behalf of the Successful Proponent.
Xxxxx, Governor Xxxxxxx Xxxxxxx, Commissioner NYSDOT XXXX XXXXXXX, DQAB PS&E UNIT NYSDOT POD 23 00 XXXX XXXX ALBANY NY 12232 Schedule Year 2019 Date Requested 07/26/2019 PRC# 2019009744 Location Queens Project ID# D900048 Project Type Replacement of bridges; Retrofit of bridges; Intersection improvements to ensure ADA compliance; Replacement and upgrade of traffic signals; Relocation of two ramps.
Any items that not covered in Server Hardware Description may be included in future subject to agreement of Both Parties.
More Definitions of Date Requested
Date Requested. Hours Requested: Day of Week: Total Expected Attendance: Do you understand that Morton Park District Ordinance PROHIBITS the consumption or possession of alcohol at All Facilities? Yes ( ) No ( ) Will there be admission charged or merchandise sold? Yes ( ) No ( ) If yes, please explain how proceeds will be used: Absolutely NO FOOD, DRINKS, or GUM allowed on the FieldTurf or playground No METAL CLEATS allowed No Smoking No Alcohol The Person in Charge (making the rental) must be present at all times during the rental Soccer Field Rental Fees Morton Park District Programs & Affiliate Groups $0/hr. All other groups $100/hr. Tumbling Room Rental Fees Morton Park District Programs & Affiliate Groups $0/hr. All other groups $50/hr. Upstairs Meeting Room Rental Fees Morton Park District Programs & Affiliate Groups $0/hr. All other groups $25/hr. Hold Harmless Agreement In consideration of the Morton Park District, extending the use of it’s property and facilities, the undersigned hereby agree to indemnify and to hold and save harmless said Park District from any and all claims, causes of action, judgments and liabilities of any kind, whether for property or personal injury of whatsoever nature and kind, which might arise from the undersigned’s use of the property and facilities from to . Said indemnification shall be binding on the undersigned regardless of whether or not the injured party is a member of the organization designated below, the Morton Park District itself or any other person. We have read and will abide by the Morton Park District Recreation Center rental policies and agree to be responsible for any damage to Park District property caused by our group/organization and attest that the above information is true and correct. Signed: Title:
Date Requested. Start time: End time: Number of Guests? Handicap elevator? Food Allergies? Name/Organization: Address: City: State: Zip: Phone: Email address: Today’s Date: Tea Information
Date Requested. Type of Event: Set Up Date: Time: Tear Down Date: Time: Exact Event Location: I certify that I have read and agree to all terms of this rental agreement. Signature of Renter (date) Return this form with payment to: City Clerk, City of Montrose, 000 X. Xxxxx Xxxxxx, Xxxxxxxx, XX 00000. FOR INTERNAL USE ONLY: Rental Fee Paid: GL ACCOUNT: 🞎 $25 🞎 $100 w/Canopy 200-4400-413-000 Deposit Fee Paid: 🞎 $100 100-2207-350-000 Copies to: 🞎 Public Works 🞎 Renter APPROVED BY: STAGE RENTAL POLICY The following guidelines are designed to protect the beauty and integrity of the stage(s). The City of Montrose reserves the right, on an individual basis, to refuse rental to events deemed inappropriate to the City of Montrose. Rental fees are subject to change without notice. City of Montrose sponsored events take precedent over other scheduled events. Additional policies and restrictions may apply. Any regulations not adhered to under these policies and not enforced by the responsible party will result in the group being barred from future use of the stage(s). Stage Reservations: Reservations are not valid until a rental contract has been signed by all parties specified on the Stage Rental Application Form and payment of the required fee and deposit has been made. The renter of the stage(s) is not permitted to sublease the stage. Deposits and Fees: There is a $25 use fee ($100 for canopy rental) required that must be paid at the time the rental contract is signed as well as a $100 refundable security deposit that is applied towards additional cleanup or for damages. Refunds are processed within two weeks after your event for the refundable $100.00 security deposit less any additional cleanup or damage charges. Failure to vacate the stage area by the appointed time may result in additional rental fees.
Date Requested. Hours Requested: Day of Week: Total Expected Attendance: This Organization is a: Civic ( ) Religious ( ) School ( ) Charity ( ) Service ( ) Commercial ( ) Private ( ) Other ( ) explain: Is this group based within the Morton Park District? Yes ( ) No ( ) If yes, approximately what percentage of the membership resides within the boundaries of the Morton Park District? Do you understand that Morton Park District Ordinance PROHIBITS the consumption or possession of alcohol at all parks? Yes ( ) No ( ) Will there be admission charged or merchandise sold? Yes ( ) No ( ) If yes, please explain how proceeds will be used: Resident Rental Fees (A refundable damage and clean-up deposit of $50.00 is required for ALL rentals. Depositors forfeit $25.00 of the deposit if rental is cancelled.) Morton Park District Programs & Affiliate Groups $0/hr. In-District Chartered Non-Profit Groups $40/hr. ($240 max.) In-District Private Parties $60/hr. ($360 max.) In-District Commercial Enterprises $75/hr. ($600 max.) Non-Resident Rental Fees Out-of-District Chartered Non-Profit Groups $55/hr. ($330 max.) Out-of-District Private Parties $90/hr. ($540 max.) Out-of-District Commercial Enterprises $100/hr. ($800 max.)
Date Requested. Time Requested: open: close: You can arrive 30 mins prior to the start of your event. No one will be allowed in the water until 6:00 pm. You are responsible for any and all clean up including but not limited to; gar- bage, decorations, tables etc. You must be cleaned up by the time that you agreed to in your pool use agreement. RENTAL COSTS: $ 50.00/Hour Resident $ 75.00/Hour Non-Resident SECURITY DEPOSIT: $ 75.00 STAFF COSTS FOR POOL RENTALS STAFF REQUIREMENTS Number of Patrons Main Pool Only Staff Required Feature 50—200 5 Wading Pool 200 and up 6 Small Blue Slide Bowl Slide Splash Pad Only Wading Pool Only Staff Required Total # of Staff X $11.00/Hour X Number of Hours = Total Staff Cost: $ Approximate number of quest expected: Fees should be paid with two separate checks for bookkeeping purposes. Deposit is due at the time of the booking. Rental payment is due no later than two weeks before the rental. Signature of Applicant/Date Agent, Genoa Township Park District/Date Office Use Only Date Deposit Received Amount Cash/Check # Date Rental Fee Received Cash/Check # Amount This is an agreement between the Genoa Township Park District and the “responsible party” for the use of the fa- cilities 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 fol- lowed to assure their refund of the responsible party's deposit. Responsible Party: _
Date Requested. Time Requested: Event: Number of Guests: (25 max) Management Use:
Date Requested. Time: Until or All Day Purpose: Number of Participants: Notes/Requests: BUILDING USE FEES Current Century Club Member ($100 per event) Non Member or For-Profit Organization ($300 per event) Frequent User Program ( per week/month/day) Certificate of Insurance REQUIRED Certificate of Insurance WAIVED Must list Society to Preserve Old Xxxxxxx Gym and Xxxxx County School District Board of Trustees as additionally insured. I understand: School operations must take precedence in use of facilities. While every attempt will be made to avoid conflicts, any payments will be prorated for cancellations, the school may cancel any session or use in its sole discretion by notifying the contact person named above. A Re-Key fee of $125.00 will be charged if I loose or fail to return the key assigned to me. DO NOT COPY KEYS. There will be a $200 cleaning deposit for any event accompanied with music. Facility is to be cleaned and all furniture placed in original location. ANY and ALL DECORATIONS are to be cleaned up. This INCLUDES tape and any adhe- sives, glitter & confetti used. DO NOT STAPLE or PIN anything to walls or on any gym property. DO NOT TAPE anything to the Trophy Cases. This applies to the inside and outside of the building. That the inside of the Old Xxxxxxx Gym Building is under Video Surveillance. There will be NO TOBACCO PRODUCTS, or NO ALCHOLIC BEVERAGES in any Old Xxxxxxx Gym Building at any time and violation of the above may be cause for immediate removal. Game Room is not for use unless rented or previously authorized by management.