AAD Rental Request Form

Is this for Austin Deaf Club's event? *

Yes No
Your full name: *
Your email: *
What is your statue: *
Name Event: *
Date of Event: *

Month Day Year
Date
Time of Event: *

Hour Minutes

AM/PM Option
Setting up time:

Hour Minutes

AM/PM Option
Cleaning time:

Hour Minutes

AM/PM Option
Type of Party

Wedding Party Birthday Party Retirement Party Other
Type of Event

Fundraising Educational Workshop Other
Your event is set open to public? *

Yes No
Will this event have admission charge or charge to public? *

Yes No
Will this event plan to use the club’s kitchen? *

Yes No
Will this event like to have the bar opening? (up to 4 hours) *

Yes No
Will this event like to have the security and/or parking lot assistance? *

Yes No
Will this event like to use the Pavilion? *

Yes No
Tables and Chairs: do you need to use them? *

Yes No
Will you like to place your flyer on AAD Newsletter/AAD website/AAD Facebook?

Yes No
The cost of rental is listed below: PLEASE CHOOSE ONE *
RENTER AGREES TO INDEMNIFY, DEFEND, AND HOLD HARMLESS THE AUSTIN ASSOCIATION OF THE DEAF, INC. (KNOWN AS AUSTIN DEAF CLUB) AND ITS AND ITS OFFICERS, STAFF, MEMBERS AND GUESTS (COLLECTIVELY, THE "INDEMNIFIED PARTIES") WITH RESPECT TO ANY CLAIMS, INJURIES,WRONGFUL DEATH OR DAMAGES ARISING OUT OF, OR IN CONNECTION WITH THE USE BY THERENTER AND ITS VISITORS OF ANY PORTION OF AUSTIN DEAF CLUB. RENTER UNDERSTANDS THAT THIS AGREEMENT TO INDEMNIFY, DEFEND AND HOLD HARMLESS SHALL APPLY EVEN IF THE DAMAGE, INJURY OR DEATH, CLAIM OR CAUSE OF ACTION ARISES, IN WHOLE OR IN PART, FROM THE NEGLIGENCE OR OTHER ACT OR OMISSION, OF ANY OF THE INDEMNIFIED PARTIES.

Term of the Agreement: *

Yes

Do you acknowledge the Rental Expectation

Do you acknowledge this rental form to submit for AAD Executive Board's approval

Do you acknowledge the charge fees for not cleaning and damage.

Do you acknowledge the Cleaning Checklist

Do you acknowledge that if this event is approval, make payments to the AAD treasurer

Do you acknowledge that if the club is not cleaned at all, the deposit will NOT be refunded. If the club is clean, the deposit of $150 will be refunded. If the cancellation is made less than fourteen (14) days of the event, the deposit will be FORFEITED.

Any comment?
Should be Empty:

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