LIONS FIELD HOUSE USE FORM

Name/Representative:	Name of Organization or Non Profit Group:	Today’s Date:	Date of Use:
Street Address:	Mailing Address:	City, State, Zip:	Phone Numbers:

The field house is available to rent by all Village homeowners and renters who can provide an annual lease. Only those homeowners whose name appears on the current tax roll will be allowed to rent the Field House. A current, annual lease is the only proof of residency the Village will accept from renters. No deposit will be returned until the Village has had time to inspect the Field House after your use.

Rental Fee: $200.00 / Deposit: $500.00 in cash (applicable only to renters)

General Information:

1) If you wish to be present when the Village inspects the Field House, you must check this box .

2) Repair costs are not the only costs you may incur. Janitorial services (if necessary) will be withheld from your deposit as well as the cost of “re-keying” the Field House if you lose the key that was issued.

3) Immediately following your event, prior to leaving, you must clean the Field House thoroughly.

4) Clean and return all items used.

5) Thoroughly clean and wash tables and chairs and put away in an orderly fashion. Please stack folding chairs one section of the two-sided rack at a time, alternating from bottom to top.

6) Wash all tables, countertops, stove and washrooms.

7) Remove all your decorations including scotch tape! No decorations may be placed on the ceiling.

8) Sweep and wet mop the floor thoroughly, even if you must do it twice. If the mop is dirty, you must clean it thoroughly first before using it. This is the item that most people don’t pay nearly enough attention to.

9) Check the thermostat. Summer: cool and set to 90˚ when leaving. Winter: heat and set to 55˚ when leaving.

10) Turn off all lights and check that you have removed all of your personal items from the premises including the refrigerator.

11) Lock all doors and check them twice before leaving.

12) Cancellation Policy. In the event you must cancel your use of the Field House, the Village will refund your fee as follows:

· 14 days or more notice: Full Refund

· 7 to 13 day notice: $50.00

· Less than 7 days: No Refund.

13) Clean-up charges are $50.00 for each half hour or fraction thereof. For example: 45 minutes of clean-up would be a $100.00

charge.

14) Taxpayers. Instead of posting a deposit, you will be liable for any and all damages to the Field House while under your care.

Any charges incurred by the Village as a result of your use of the Field House will be billed to you at the address you have provided. Failure to pay these charges in a timely manner (30 days) will result in the Village placing a lien on your property for collection of these charges.

I hereby agree to the above-mentioned terms and conditions.

Signature_____________________________________________

Date________________________________________

FOR VILLAGE USE ONLY.

Fee and deposit received by:__________________________________________ Date___________________________________________________

Deposit returned to:_________________________________________________ Date___________________________________________________

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