Facility Rental Request

Facility Rental Request

If you have any questions about this form, please contact City Hall at 541-395-2698 or cityhall@cityofmaupin.org. You will be contacted by City Hall within 48 hours of your request. Any applicable rental fees are due once the request is confirmed.
Contact Full Name*

First NameLast Name
Operating As
Name of company, nonprofit, or sponsoring organization
Contact Mailing Address*

Mailing Address

Mailing Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number*
Contact E-mail*
example@example.com
Facility Request:*

Civic Center Conference Room (Up to 86 people, wi-fi, two wall-mounted TVs, moveable tables and chairs, ADA accessible)City Park Community Building (Wi-fi, full kitchen, restrooms, ADA accessibleRV Park guests who wish to reserve the space should contact Maupin City Park at 541-395-2252)Kaiser Park (Grass lawn, wi-fi, picnic tables, ADA accessible, public restrooms)Mountain Fir Park (Covered picnic area, ADA accessible, public restrooms)
Purpose of Use*
Date Requested*

MonthDayYear
Date
Beginning Time (Including Set Up)*

Hour Minutes

AM/PM Option
Ending Time (Including Clean Up)*

Hour Minutes

AM/PM Option
Is this a request for a recurring event?*

YesNo
If yes, please share more details about your request, including beginning and ending dates of use.
What questions do you have for City Hall about this request?*
The renter agrees to:

• Return the property to the condition it was left in. It City Staff need to do any significant cleaning after the event, the renter will be charged for cleaning time according to the City of Maupin Fee Schedule.

• Notify City staff immediately of the loss of an assigned building key.

• Notify the City when the building will not be used and the agreement will be void.

• Suspend use of the building for certain events, maintenance, or other needs at the City’s discretion, with notification at least 48 hours in advance.

• Provide any proof of liability insurance if the City determines that it’s necessary.

Any fees are due once your request is confirmed by City Hall. This rental agreement is valid until the ending date noted on the form. The City of Maupin will not be responsible or held liable for any loss, damage, or injury of any kind to the renter or the renter’s event participants.
Signature*

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