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| Facility Rental Form |
FACILITY RENTAL FORM
WASHINGTON COUNTY RECREATION DEPARTMENT
POLICIES ADOPTED BY THE WASHINGTON COUNTY RECREATION COMMISSION
1. FACILITY AREA DESIRED _________________________________________
2. TIME AND DATE REQUESTED_________________________________________
TIME DATE
3. PERSON/ORGANIZATION REQUESTING FACILITY_____________________________________
4. CONTACT PERSON_________________________________________
PHONE # ________________________ ADDRESS ________________________
5. APPROVED BY__________________________________ DATE _____________________
6. DEPOSIT PAID BY RENTER _____________
PAYMENTS FOR ALL FACILITY RENTALS SHOULD BE MADE IN CASH OR IN CHECKS MADE PAYABLE TO THE WASHINGTON COUNTY RECREATION DEPARTMENT.
RENTAL FEES:
SOFTBALL FIELD(S) - $50 PER FIELD/$10 PER GAME
LIGHTING FOR FIELDS - $15 PER HOUR/PER FIELD
PICNIC SHELTER - $15 PER DAY
COMMUNITY ROOM - $30 PER HR/$80 PER 4 HOURS/$160 PER 8 HOURS
GYMNASIUM(S) - $40 PER HR PER CRT/$100 PER CRT FOR 4 HRS; $200 PER CRT FOR 8 HRS
IN ADDITION TO THE ABOVE CHARGES, A CHARGE OF $10 PER HOUR WILL BE CHARGED
FOR A STAFF PERSON TO BE ON DUTY WITH THE EXCEPTION OF THE PICNIC SHELTER RENTAL. COMMUNITY ROOM AND GYM RENTALS WILL REQUIRE A SECURITY OFFICER AND A STAFF PERSON TO BE PRESENT. THE FEE FOR THE SECURITY OFFICER IS $15 PER HOUR. DEPENDING ON THE NATURE OF THE ACTIVITY, THE RECREATION COMMISSION HAS THE RIGHT TO REQUIRE SECURITY OFFICERS AT CERTAIN EVENTS. THE NUMBER OF OFFICERS WILL DEPEND ON THE ACTIVITY. STAFFING AND SECURITY FEES WILL BE PAID BY THE RENTER AT THE CONCLUSION OF THE ACTIVITY.
THE RECREATION COMMISSION HAS THE RIGHT TO APPROVE OR REJECT ANY RENTAL
REQUEST OR RESERVATION.
ANY INDIVIDUAL OR GROUP REQUESTING RENTAL OF THIS FACILITY MUST PROVIDE A CERTIFICATE OF INSURANCE WITH LIABILITY LIMITS OF NO LESS THAN $100,000. THIS CERTIFICATE MUST BE MADE OUT TO THE WASHINGTON COUNTY BOARD OF COMMISSIONERS, P. O. BOX 1115, SANDERSVILLE, GA 31082. THIS CERTIFICATE NEEDS TO BE RETURNED TO THE RECREATION DEPARTMENT.
FACILITIES ARE NOT RESERVED UNTIL THIS AGREEMENT IS SIGNED AND DEPOSITS
HAVE BEEN PAID.
I AGREE TO ABIDE BY THE RULES AND REGULATIONS SET UP BY THE WASHINGTON COUNTY RECREATION COMMISSION. THE RECREATION DEPARTMENT IS NOT LIABLE FOR ANY PERSON(S) OR INCIDENT(S) OCCURING WHILE RENTING/RESERVING FACILITIES AT KAOLIN PARK.
I DO RELEASE THE WASHINGTON COUNTY RECREATION COMMISSION FROM ANY AND ALL CLAIMS OR INJURIES SUSTAINED.
____________________________
SIGNATURE OF RENTER
"Making Childhood Dreams Come True"
Sandersville, GA 31082
Phone: (478) 552-0013
P. O. Box 1115
Sandersville, GA 31082
Phone: (478) 552-0013
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