Room Rental Reservation Form - PDF

							                                                                                            Room Rental Reservation Form

                                                                                                               Rental #_____________________
   Contacts
   Name of group or person renting _________________________________________________________
                   Type of event ____________________          Number of people ___________________
   Name ____________________________________________ Name ________________________________________
   Address __________________________________________ Address ______________________________________
   City ______________________________________________ City __________________________________________
   Day Phone ________________________________________ Day Phone ____________________________________
   Evening Phone _____________________________________ Evening Phone _________________________________
                     E-mail Address:________________________________________________

   Rental Date:_________________________                                                   Will food be served:  Yes     No
   Check Requested Facility
      Boulder Point Room 3                                     Civic Center Room 1                   Little White School House     South Point

    Total Hours to be Rented:_________________
    Beginning Time:_________________________ Ending Time:_______________________
    Set-up Time (no charge):__________________
    Equipment to Reserve:
                Tables ______ Chairs _____ TV/VCR/DVD ________ Coffee Pot ______ Card Tables _____


                          For office use only

   Payments
   Damage Deposit Paid ($300)      yes no Deposit Returned Date ______________
   Charges for damages incurred?   yes no Amount? $ ____________
   Total due     $___________
   Deposit       $___________ Date _____________
   Balance Due $___________ Date _____________
   Cash Ck Visa MC American Express Discover # _________-_________-_________-_________ Ex date


I have read the rules for the use of Oswegoland Park District facilities (printed on the back of this form) and will be responsible for
relaying this information to my group. I understand that violation of these rules may result in loss of my damage deposit and/or my
group being billed additionally for damages, repairs or cleaning of the facility due to misuse, and/or loss of the privilege to use Park
District facilities.
                     I have read the rules printed on the back of this form.     I have received a copy of this form.

____________________________________________________________________________
Signature of Renting Party
                                                       Date                                             Facility / CSR
q:\leisure services - civic center\facility use info\rentals\facility rental form 09.doc
Rules for Rental Use of Oswegoland Park District Facilities
An Oswegoland Park District staff member is available at all times during your rental. If an
emergency occurs during your rental time at an Oswegoland Park District facility, you must
report it immediately to the staff person who is present.

Scheduling / Cancellations
    Request in advance any items you may need, such as coffee pots, microphone, tables,
       chairs etc.
    Schedule set up time apart from your rental use. One hour additional free time is offered.
    Arrive and depart at the times you have reserved.
    Inform the Park District immediately of any changes or cancellations.

Set-up/Take-down
     Rental groups are responsible to set up their own tables and chairs.
     Oswegoland Park District staff will take down your set up.
     You may choose to have a set up at an additional fee.

Care of the building(s)
    Signs, decorations, etc may be attached to walls/doors/floors only with written approval.
    The rental facility must be left clean and orderly.
    Failure to clean up adequately will result in additional charges.
    Put all garbage in receptacles provided.
    Mop or wipe up all spills.

Responsibility for Damage
    A $300 damage deposit is required.
    The renter is responsible for damages to the building, its contents, and grounds due to
      negligence of the group or anyone associated with the group.

Youth Supervision
    Children must be supervised at all times, in all areas of the building and outside grounds.
    Children may not be left alone in any area of the facility.

No Alcohol
    Alcohol is not allowed in or around Oswegoland Park District facilities.

No Smoking
    Smoking is prohibited inside all Oswegoland Park District facilities.

Please Remember
     Groups practicing discrimination in any matter will not be allowed to use
        Oswegoland Park District facilities.
     These rules are not intended to be all-inclusive, and all other rules and regulations of the
        Oswegoland Park District also apply to users of Oswegoland Park District facilities.
        For more information regarding use of Oswegoland Park District facilities please contact
                   www.oswegolandparkdistrict.org or 630.554.4477 - 630.554.1010
Q:\Leisure Services - Civic Center\Facility Use Info\Rentals\Rules Rental Facilities09.doc