Room Rental Contract
APPLICATION FOR USE OF ROOM RENTALS Name of Organization:
Adult in Charge:
Title:
Address:
City:
Business Telephone:
Home Telephone:
Fax:
E-mail:
Will any fees be charged to attendees?
How many attendees do you expect?
Usage Requested (Please check) FEES: Conf. Room: $350 for 3 hours $150 for each additional hour______ Game Room: $350 for 3 hours $150 for each additional hour______ Date(s) Requested:
Hours From:
To:
#of Persons
1. _______________________________________________________________ 2. _______________________________________________________________ 3. _______________________________________________________________ Room Set-Up (Check One):
Auditorium Style (chairs only) Classroom Style ________ (chairs & tables separated) Conference Style________ (one conference table and chairs)
Equipment Requested: TV & VCR $125 _________________ Easel with markers_____________ Will serve food? If yes, who is the caterer? You may need to have the caterer submit a Certificate of Insurance. Full use of all facilities for a Corporate or Family event is available upon request.
D 212-912-2510
VANDERBILT YMCA 224 East 47th Street New York, NY 10017 C 347-297-9683 F 212-755-7579 E [email protected] W ymcanyc.org/vanderbilt
ROOM RENTAL POLICY 1. All reservations must be approved and paid in full prior to rental date. 2. Non-Refundable fee of $100 will be requested at the time of reservation. 3. The YMCA cannot be held responsible for a rental cancellation due to a YMCA emergency at the facility. 4. We reserve the right to request proof of insurance from your organization or caterer. 5. No alcoholic beverages are permitted at any time. 6. Smoking is not permitted within the building. 7. The YMCA reserves the right to cancel a rental group at any time. 8. The signature below must be that of the adult in charge. 9. The person(s) in charge and /or the group shall be responsible for all loss or damage to facilities and equipment. A refundable deposit may be required at the discretion of the YMCA. 10. All equipment brought in must be approved prior to the rental. The YMCA assumes no responsibility for your equipment or property brought into the building. 11. Use of YMCA facilities does not imply endorsement or sponsorship of the event by the YMCA. Therefore, publicity shall be designed in such way that no suggestion of endorsement and/or sponsorship is implied. All such publicity shall be cleared in advance with designated representative of the YMCA. 12. Admission fees of any kind shall not be charged except with prior written approval of the YMCA. 13. All YMCA rental activities will end by 11:00 PM so that the YMCA can be secured by Midnight. I have read a copy of this agreement and agree to all terms. SIGNED _________________________
___
__
PRINT NAME _____________________ __
__
Approved by _____________________________ YMCA Staff D 212-912-2510
_ __________________ ______ Date Approved
________ __ Fee Paid
VANDERBILT YMCA 224 East 47th Street New York, NY 10017 C 347-297-9683 F 212-755-7579 E [email protected] W ymcanyc.org/vanderbilt
Adult in Charge:
Title:
Address:
City:
Business Telephone:
Home Telephone:
Fax:
E-mail:
Will any fees be charged to attendees?
How many attendees do you expect?
Usage Requested (Please check) FEES: Conf. Room: $350 for 3 hours $150 for each additional hour______ Game Room: $350 for 3 hours $150 for each additional hour______ Date(s) Requested:
Hours From:
To:
#of Persons
1. _______________________________________________________________ 2. _______________________________________________________________ 3. _______________________________________________________________ Room Set-Up (Check One):
Auditorium Style (chairs only) Classroom Style ________ (chairs & tables separated) Conference Style________ (one conference table and chairs)
Equipment Requested: TV & VCR $125 _________________ Easel with markers_____________ Will serve food? If yes, who is the caterer? You may need to have the caterer submit a Certificate of Insurance. Full use of all facilities for a Corporate or Family event is available upon request.
D 212-912-2510
VANDERBILT YMCA 224 East 47th Street New York, NY 10017 C 347-297-9683 F 212-755-7579 E [email protected] W ymcanyc.org/vanderbilt
ROOM RENTAL POLICY 1. All reservations must be approved and paid in full prior to rental date. 2. Non-Refundable fee of $100 will be requested at the time of reservation. 3. The YMCA cannot be held responsible for a rental cancellation due to a YMCA emergency at the facility. 4. We reserve the right to request proof of insurance from your organization or caterer. 5. No alcoholic beverages are permitted at any time. 6. Smoking is not permitted within the building. 7. The YMCA reserves the right to cancel a rental group at any time. 8. The signature below must be that of the adult in charge. 9. The person(s) in charge and /or the group shall be responsible for all loss or damage to facilities and equipment. A refundable deposit may be required at the discretion of the YMCA. 10. All equipment brought in must be approved prior to the rental. The YMCA assumes no responsibility for your equipment or property brought into the building. 11. Use of YMCA facilities does not imply endorsement or sponsorship of the event by the YMCA. Therefore, publicity shall be designed in such way that no suggestion of endorsement and/or sponsorship is implied. All such publicity shall be cleared in advance with designated representative of the YMCA. 12. Admission fees of any kind shall not be charged except with prior written approval of the YMCA. 13. All YMCA rental activities will end by 11:00 PM so that the YMCA can be secured by Midnight. I have read a copy of this agreement and agree to all terms. SIGNED _________________________
___
__
PRINT NAME _____________________ __
__
Approved by _____________________________ YMCA Staff D 212-912-2510
_ __________________ ______ Date Approved
________ __ Fee Paid
VANDERBILT YMCA 224 East 47th Street New York, NY 10017 C 347-297-9683 F 212-755-7579 E [email protected] W ymcanyc.org/vanderbilt
