Rental Application

 

Name of Group: __________________________________________________________________

Type of Activity: __________________________________________________________________

Date(s) of Use: ______________________________  Total Hours Needed: ___________________

From: ________  AM/PM on _______________    To: ________ AM/PM on ____________________

GHCC Member:   Yes    No       Hansville Resident:   Yes    No       Waiver Requested:   Yes    No

Basic Fee: $________    A/V Equipment: $________   Piano: $_______   PA System: $________  

Bull Horn: $________       Prior Evening: $________   Full Kitchen: $________  

Total Fee Enclosed: $_________

Special Instructions:________________________________________________________________

Person Responsible for Rental (please print):  ___________________________________________

Address:  ________________________________________________________________________

Telephone:  _____________________________________  Email:  __________________________

Rental Agreement

I have read the rental rules and will abide by all the regulations governing the use of the Hansville Community Center.  I understand that failure to do so may result in the loss of all or part of the rental deposit.  I understand my responsibility to inspect the Hansville Community Center upon arrival and will call if any problems are found. I understand my responsibility for proper notification of cancellation and agree to abide by the cancellation policy.

Signature: _______________________________________________ Date: ___________________

Instructions:

Please return this rental application together with your separate checks for the amount of the rental and the $100.00 damage deposit to:

Hansville Community Center

Attn: HCC Rental
P.O. Box 133
Hansville, WA 98340–0133 

If you have any questions please call (360) 638-1143.  Receipt of your deposit and rental fee will confirm the date being held for you. Thank you for renting the Hansville Community Center.