Community Center Monthly Use Application

Extended Use Application

For Groups that wish to use the Community Center on an ongoing basis.
Name of Applicant*
Date

MonthDayYear
Date
Organization*
Phone*
Address*

Address

Street Address Line 2

CityState / Province

Zip
Email*
example@example.com
Alternate Contact*
Phone*
Event Description*
Room Requested*

East HallWest HallFoyer
Number of Guests*
Number of Volunteers
RESERVATION REQUEST

You can type in your Dates & Times or Attach Document to this form
File Upload

Cancelof
Day(s) of the Week Requested
Date(s) Requested
Time(s) Requested (include time for setup / breakdown)
Exceptions to block reservations
I, the undersigned, certify that the information contained in this application is correct to the best of my knowledge and belief. I have read, understand, and agree to abide by the City's ordinances, traffic rules, park rules, state health laws, fire codes, and liquor licensing regulations governing this proposed event. I also agree to comply with all other local, state, and/or federal laws that are applicable to this event. By signing, I acknowledge that I have authority to bind the sponsoring organization and acknowledge that I have received, read, and understand the special event ordinance and agree to be bound by all requirements as stated in the ordinance and incorporated by reference into the signed agreement. If the event plans change, I will submit a revised application or additional information accordingly.
Applicant Signature*

Clear
Date

MonthDayYear
Date
These meetings will be evaluated on an annual basis. Failure to submit your paperwork on time may result in the inability to schedule for your requested dates.

General Rules and Expectations: Groups requesting to use the Mount Pleasant Community Center and its facilities must agree to the following list of rules and expectations. Failure to comply with the following may result in termination of this agreement.
1. You cannot move anything around in the room. The tables, chairs, and games have been placed in their current locations for a reason. Movement of these items may result in damages to the items or to the floors. Your organization will be responsible for any damages that occur.
2. If you make a mess, clean it up. There are trash cans that are lined and available in both halls. If the trash is full, please tie up the bag and take it out to the dumpster located in the parking lot attached to the West Hall.
3. We welcome craft projects, but we ask you not to use glitter or confetti as they cause a huge mess that is difficult to clean up.
4. Turn the lights out when you are finished. Please help us conserve energy!
5. We ask groups to limit meeting times SO that all groups have a chance to meet at the Community Center. Please keep meetings limited to 2 meetings per month at 2 hours each. I have read and agree to meet all the conditions of these general rules and expectations and will assume responsibility. I understand that if these conditions are not met or if the building and its contents are not left in the condition they were found, as stated by this agreement, the agreement will be terminated.
Applicant Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

Extended Use Application

RESERVATION REQUEST