subject_line
YMCA at Pabst Farms Field Rental Agreement
Contact Information
Organization
*
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Address
*
City
*
Zip Code
*
Event Request Information (A two-week notice is requested)
Date of Event
*
+
Time of Event
*
Number of Chaperones / Adults
*
Number of Participants
*
Requested Areas of Use (Check all that apply):
Rental Choice
*
Field Rental Game - $100
Field Rental Practice - $50
Special Set-up Request / Notes Regarding Rental
The group will need to submit either
(Check one)
:
*
A Certificate of liability
Individual participant liability forms
Each group will be responsible for their conduct while in the facility and a competent leader, over the age of 18, will be the contact person.
The ratio of chaperones to participants will be 1 to 8 for ages 10 and under and 1 to 10 for ages 11 and over.
The YMCA assumes no responsibility for lost or stolen articles.
The YMCA will have the authority to cancel this rental agreement if a need arises.
The YMCA will hold the rental party responsible for clean-up and damages to the facility or equipment during the rental. In addition to any repairs or excessive cleaning that takes place, a $250 fee will be assessed.
Any conduct detrimental to the YMCA such as, but not limited to, gambling, use of alcoholic beverages; foul language and any other harmful language will not be tolerated.
Use of the facility does not imply endorsement or sponsorship of the event by the YMCA and promotional materials must not include the YMCA name or logo.
Food and beverages must be kept in the designated areas only.
All rentals require a non-refundable deposit.
All cancellations must be made (7) days in advance. Cancellations made (6) days or less prior to the event will incur a cancellation fee of ½ of the rental fee, less the non-refundable deposit.
Rentals must be paid in full 7 business days prior to your event unless the pricing is based on the number of participants.
Electronic Signature
I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. I agree to apply this signature to all fields where I agreed to use my electronic signature on this form. I understand if I do not agree I can contact the YMCA at Pabst Farms and requests a paper packet at no additional charge.
*
Yes
No
Please contact the YMCA at Pabst Farms to obtain a paper copy of this form.
Full name of Rental Party Representative
*
Signature
*
clear
Date
*
+