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2. Name*
3. Phone Number*
5. Address*
6. Work Phone Number
8. City*
9. State*
10. Zip Code*
14. TIME INCLUDES SET-UP AND CLEAN-UP
15. RATE:
    $200.00 Deposit $45.00 per hour + 3.15 Tax = $48.15 TOTAL PER HOUR
17. Date & Time Requested*
    Date & Time Requested

    Date & Time Requested
18. Number of guests*
20. Name of Activity*
21. Nature of Activity
25. I have read, fully understand, and agree to abide by the rules, regulations, and restrictions governing the use of the hall. Also, I understand that I must be on site for the rental and agree to assume all responsibility for any damage to park property and to clean-up the facility and leave it in its pre-rental condition. The Park Department will not accept partial payments. Please note confetti, decorations, and tape attached to the wall is NOT ALLOWED and will result in waiving of your deposit. I understand that alcohol is prohibited in the building and on park property without police officers (refer to highlighted area below).
27. Digital Signiture*

    1. I agree to the above information
28. Date
    Date
32. FACILITY RENTAL POLICIES
    1. All rentals, except East Chicago Parks & Recreation, must have a permit to use any facilities. 2. All rental fees must be paid in full no less than fourteen (14) days prior to the date of the renter’s schedule use. If the fee is not paid in full by that fourteenth day, East Chicago Parks & Recreation reserves the right to charge a twenty-five ($25.00) late fee and/or cancel reservation. Your deposit will also be kept if you fail to cancel three (3) weeks prior to your event. 3. The fees can be paid by credit card, money order, or cash (exact amount only). 4. If renter is not vacated from the premises by the time specified on renter’s agreement, East Chicago Parks & Recreation will claim the renter’s security deposit for payment. 5. The renter is personally in charge and responsible for the conduct of all persons in attendance at the facility. The renter will be held financially liable for any resulting damage to the facility and/or property within or surrounding the building. 6. The renter assumes all risks of loss, damage or injury to persons or property. East Chicago Parks & Recreation are released from all claims for such loss, damage or injury sustained while using the facility. 7. All permits are revocable; determination of fees, responsibilities and services are the discretion of the Park Board. 8. East Chicago Parks & Recreation reserves the right to rent or not to rent to groups and organizations. 9. All kitchen equipment used must be cleaned and properly put away. If you use the stove and oven it is to be cleaned. Furnishings must be returned to the proper places and all garbage created by the renter must be removed from the facility and placed in outside trash containers. Any garbage outside shall be picked up. No furnishings shall be removed from the facility. East Chicago Parks & Recreation reserves the right to keep your security deposit if the building and/or grounds are not left cleaned the way of pre-rental conditions. 10. East Chicago Parks & Recreation personnel will open and close the facility. 11. Usage of Kitchenette not guaranteed 12. All users of East Chicago Parks & Recreation facilities shall assume the responsibility to leave said property in its original state. East Chicago Parks & Recreation may assess additional cleaning fees ($25.00 per hour) if the facility is not in clean condition. 13. East Chicago Parks & Recreation employees may not use park property or facilities for personal gain. 14. The renter will assume the cost of $35.00 if the East Chicago Parks & Recreation professional staff is called out to the facility any time during their rental time for any reason such as renter disturbance, user misconduct, etc. 15. Deposits are refundable four to six weeks after the date of your event in the form of check payable to the renter. I have read and fully understand all the rules and conditions in this policy that is governing the use of the facilities and I take full responsibility for any actions that may take place during the use of the building and/or grounds.
34. Digital Signiture*

    1. I agree to the above information
35. Date
    Date
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

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