RENTAL APPLICATION
East Berlin Area Community
Center
405 North Avenue P.O.Box 530 East Berlin, PA 17316
(Office) 717-259-8848 (Fax) 717-259-0149
www.ebacc.com
Event
Date ____________________________________ Time ______________ to ______________________
Space(s)
requested:
˙ Gym ˙
Pavilion ˙
Senior Center ˙ Room
4 ˙ 1A ˙
1D ˙
2A ˙
2D
Organization/Person
making request ____________________________________________________________
Address
____________________________________________________ Home
Phone____________________
___________________________________________________________
Work Phone_____________________
Purpose
of rental ____________________________________________________________________________
Number
of guests/participants (approx.) _________________________________________________________
Will
you need tables and chairs? ˙ Yes ˙ No # of tables ______________ # of chairs
________________
Will
you need tables and chairs set-up by EBACC staff? (Additional Charge)
˙ Yes
˙ No
Will
there be an admission fee charged at your event? ˙Yes ˙ No
Organization/individual
agreement to adhere to rules and regulations:
a)
Security
deposit due upon signing and to be deducted from balance due.
b)
Balance
due seven (7) days before event.
c)
Deposit
will be forfeited if area rented is not cleaned and arranged in the same order
as found.
d)
Applicant
is responsible for any damages that may occur to EBACC property.
e)
Reservations for which the balance has not
been received are subject to cancellation and deposit forfeited.
f)
No refunds will be made for no-shows.
g)
No alcoholic beverages or smoking is
allowed in the community center.
h)
Bagged garbage must be taken away from the
community center property.
i)
EBACC is not responsible for any injuries
that may occur to guests during the use of the center.
Applicant
Signature_______________________________________________Date___________________________
