Facilities Use Application Form

FACILITIES USE APPLICATION FORM

WHEREAS

WHEREAS Applicant Name: seeks permission to use Facility Name: for the purpose stated below.

WHEREAS the facility operator has established policies, fees, insurance, and indemnity requirements that govern non-commercial and commercial uses of its premises; Applicant acknowledges and agrees to comply with such requirements as a condition of approval.

APPLICANT INFORMATION

EVENT / ACTIVITY DETAILS

Setup Time:    Cleanup End Time:    Expected Attendance:

FACILITY REQUEST

Check areas requested:

Auditorium    Gymnasium    Conference Room    Kitchen

Will food or beverages be served?   Yes No    Will alcohol be served?   Yes No

PAYMENT TERMS

Rental Fee Amount: $    Deposit Required: $

Payment Schedule:

Late Payment Fee: . Failure to pay may result in cancellation and forfeiture of deposit.

INSURANCE, INDEMNITY AND RISK

Applicant shall, at its sole expense, procure and maintain commercial general liability insurance with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. Applicant shall provide a certificate of insurance naming the facility operator as additional insured and evidencing required coverage prior to use. Failure to provide proof of insurance may result in denial of the application.

Indemnity: Applicant agrees to defend, indemnify, and hold harmless the facility operator, its officers, agents, and employees from and against all claims, liabilities, losses, damages, costs, and expenses (including reasonable attorneys' fees) arising out of or connected with Applicant's use of the premises, except to the extent caused by the gross negligence or willful misconduct of the facility operator.

RULES, SAFETY & COMPLIANCE

Applicant shall comply with all applicable laws, regulations, and facility rules, including capacity limits, fire and life-safety requirements, and noise restrictions. Applicant is responsible for cleanup of the premises and for repairing or reimbursing the facility for any damage resulting from the event. Use of open flames, pyrotechnics, or other hazardous materials is prohibited unless expressly authorized in writing by the facility operator.

Security & Staffing: The facility operator may require security guards or facility staff at Applicant's expense for certain events. Applicant will comply with any staffing requirements and reimburse associated costs as invoiced.

CANCELLATION & TERMINATION

Cancellation by Applicant with written notice received at least days prior to the event will result in refund of fees per the facility's refund schedule. The facility operator reserves the right to terminate or cancel any reservation for public safety reasons, breach of terms, or other reasonable cause. In the event of facility cancellation, Applicant's sole remedy shall be refund of fees paid (excluding any non-refundable administrative charges).

GOVERNING LAW & ENTIRE AGREEMENT

This application, upon approval and execution by the facility operator (if required), shall be governed by and construed in accordance with the laws of the jurisdiction in which the facility is located. This document, together with any attached conditions of use and fee schedule incorporated by reference, constitutes the entire agreement between the parties concerning use of the facility and supersedes all prior communications and proposals.

CERTIFICATION

By signing below, Applicant certifies that the information contained in this application is true and complete, that Applicant has authority to bind the organization named herein, and that Applicant has read, understands, and agrees to comply with all facility policies, rules, insurance, indemnity, payment, and cancellation terms set forth in this application.

OFFICE USE ONLY

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