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Facility Rental Request Form

  1. Facility Requested / Facility Fees (per hour)*

  2. Room Amenities

  3. Additional Fees

  4. Room Set-Up Options (check requested set-up):*

  5. Please list number of round tables, rectangle tables, and chairs needed.

  6. Payment Options

  7. By signing, you agree and acknowledge that you have read and fully under all items in the Rental of Community Rooms Policy.

  8. By signing, you agree and acknowledge that you have read and understand all items in the Facility Rental Guidelines.

  9. Terms and Conditions

    If my application is approved, I agree to the following: All persons to whom permits have been granted must agree in writing to hold the town, its employees and agents harmless, and indemnify same from any and all liability for injury to persons or property occurring as a result of the activity sponsored by permittee and said person shall be liable to the town for any and all damage to parks, recreation facilities and equipment owned by same, which results from or during the activity of permittee or is caused by participant in said activity. (Ord. 14-2005, 1-12-2005) All persons agree to comply with the Town of Erie Municipal Code and all Parks and Recreation regulations (7-6-5).

  10. By signing, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

  11. Leave This Blank:

  12. This field is not part of the form submission.