Reservation Request - Black Creek Park Center

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Reservation Request - Black Creek Park Center Maximum Capacity: 299 Guests Hours Available: 7:00 a.m. to 9:00 p.m. Cleaning & Damage Deposit: $ 200.00 Additional Deposit for Alcohol use: $ 300.00 Deposits are refundable. Hall Rental Fee (effective 1/1/2018): $50.00 Kitchen Use Fee (effective 1/1/2012): $25.00 Fee's Non-Refundable Reservations are made through the CCLTOA office. Proof of insurance is required prior to date of event. *only if alcohol will be on premises* Use of Black Creek Center Facilities Use of the facility requires that the members are not delinquent on any assessments, fees, and fines on any lot owned by reserving member. You will need to come into the office the Friday before your event to get an access card to open the door and to do the walk through. The gates to Black Creek Park are closed on the weekends. If you would like to have the gate "held open" during your event you must make your request to the office in writing at least 5 days in advance. Attempting to open the Office or the Executive Office will trigger the alarm. The alarm system activates at 9:00 pm daily, you must have the building cleaned and vacated by this time. If the alarm is set off during or directly after your scheduled function, you will forfeit your entire deposit. Conditions of Reservation All facilities shall be left neat, clean, and in orderly condition. Cleaning and damage deposits, subject to amounts being withheld for any additional cleaning required or damage to the Association property, can be picked up in the office after the event date. Any additional costs for damage or cleaning will be billed to the property owner at the rate of $25 per hour. Property owners reserving the facility must be present with their guests from opening to closing. No overnight sleeping or camping is permitted in or around CCLTOA property. Loud music is not allowed after 10:00 p.m. Excessive noise, consumption of alcoholic beverages by minors, or any illegal activity is not permitted. The Association has the right to cancel any function at any time for not following these conditions.

CCLTOA will not be responsible for injuries to any persons, or damage to personal property while using the facility. Rules for Black Creek Center Usage No tape to be used on walls or paneling Thumbtacks or push pins only Care must be taken to prevent damage to floor No wet items or ice chests to be placed on the floor Any postings of signs, balloons, banners, etc., advertising any function, must be removed by close of scheduled event. Hall must be cleaned and VACATED by 9:00pm unless otherwise specified No pets allowed inside the building Outside areas must be cleaned up Trash of any kind must be placed in dumpster Parking should be in designated areas only Black Creek Park gate is open Monday Friday 8am-5pm Request for gates remaining open must be put in writing to the office at least 5 days in advance. ATTENTION: To use the stove, oven, and grill the two switches on the wall by the hallway must be ON at all times while the stove/oven/griddle are in use, failure to do this will cause the Fire Suppression System to engage. Set up and clean up must be completed on day of rental.

Check List for Black Creek Center Usage: Counter tops cleaned Sinks cleaned Stove turned off and cleaned Microwaves wiped clean (inside and outside) Refrigerators left clean and closed tightly Refuse placed in outside dumpster All items of equipment clean and put back in proper places Wipe all tables clean Fold and restack the tables & chairs in their proper places Sweep and mop all floors Clean restrooms Turn off all lights Close and lock all doors and windows Pick up all cigarette butts left outside Remove any signs put up to announce your event Make sure both emergency exits are locked

Name: Lot # Address: Phone: Purpose for hall rental Date # of guest Day of the week (circle one) Sun Mon Tues Wed Thurs Fri Sat Time of Event (Open & Close) Alcohol to be consumed: Yes No (please initial if yes) Alcohol to be sold: Yes No (please initial if yes) (you must show proof of ABC license and insurance/to be provided any time before rental) Kitchen? Yes No I have read and understand the requirements for use of Black Creek Park Facilities. X Date: OFFICE USE ONLY Billing amount sent to Consortium: Total Amount due: Cleaning Deposit received on Check # Alcohol Deposit received on Check #

Signature Page Name: Lot # Date & Time of Event: I have read and understand the conditions of the rental. I have read and understand the Rules for Black Creek Center Usage. I have received and read a copy of the checklist for Black Creek Center Usage I understand that if the alarm is triggered, my entire deposit will be forfeited X Date: Request to Hold Gate Open Date of event: Times: to Office Use Only Gates & Alarms scheduled: Yes or No Event access cards distributed to renter: Yes or No How many access cards given? 1 or 2 Access card number # & #