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:
˙ Pavilion ˙ Ball Field ˙ Gym ˙ 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/property.
j)
Sports
associations must provide Certificate of Insurance (commercial) prior to start
of practices/games.
k)
All
sports participants must be covered by insurance for injury.
l)
Sports
associations must have in place emergency procedures in the event of
injury.
m)
Signature
on this application indicates approval of condition of ball field/playing
field.
n)
Applicant
is responsible for delivery and pick up of outdoor mobile
restroom.
Applicant
Signature_______________________________________________Date___________________________
