Island Rec Center and Senior Center Facility Request Form
Because we offer our facilities as a community service, our fees are minimal. In return, we ask that you treat the facility in a responsible manner.
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Organization and Renter Information
Organization Name *
Contact Person *
Best Phone Number to be Reached *
Email *
Facility Information
Facility Requested *
Purpose of Function *
Will you bring any equipment or supplies into the facility? *
if yes, please explain
Date(s), Time(s), and Estimated Attendance *
Policies and Procedure
The organization and applicant agrees to comply with the following:
The Rec Center and Senior Center are not responsible for setting up the facility space *
You are only to use the facility space rented *
The facility space will be returned to original condition, including tables and chairs back to where renter found them *
Digital Signature
By signing this form, the applicant agrees to comply with policies and procedures listed above. Failure to comply with policies and procedures can result in the following: withholding of security deposit, jeopardizing rights for future use and/or legal action.
Date *
Signature of Applicant *
Submit
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