Rental Inquiry Form

Rental Inquiry Form

Originally known as the Burbank Activity Center, we were founded as an alternative to the bar and club scene for older adults. We offered dancing, social gatherings, trips and soon developed into the full service senior center we are today. Our building is very busy during business hours, but at night and on weekends it is available to any number of groups, organizations, businesses and individuals needing a larger space. We’ve played host to Weddings; Receptions; Memorial Services; Corporate Board Meetings, retreats and more. Our kitchen has been rented by caterers as well as start up food businesses in need of a fully equipped Commercial Kitchen.
GENERAL INFORMATION
Name*

First NameLast Name
Name of Organization (if applicable)
Phone Number*
E-mail*
example@example.com
ABOUT YOUR RENTAL

Please note that we are a busy Senior Center! Rentals times are 5pm - 10pm ~ Mon - Fri or anytime during the weekend if available.
Desired Date/Start Date of Rental:*

MonthDayYear
Date
Time of event (please include set up and end time)*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Rental Type*
Room Request*
Expected Attendance*
Will you be serving alcohol?*
Purpose of Rental*
Describe your event/meeting
Alcohol. The User shall obtain an Alcoholic Beverage Control permit if the event is open to the public. Permits are not required for private affairs.

Insurance. Special Event Liability Insurance. User shall keep and maintain, at its own cost and expense, a policy of comprehensive general public liability insurance, with policy limits of not less than $1,000,000 for property damage and bodily injury or death for any number of persons, insuring “Sebastopol Area Senior Center, its
officers, employees, agents and affiliates” against all liability which may arise as a result of the use of the Premises by the User, its directors, officers, shareholders, employees, agents, affiliates, independent contractors, invitees and guests, including the contractual liability of User under this Agreement. If alcohol will
be served and/or made available at the Event, the policy must also include liquor liability coverage. Such policy of insurance shall name the Senior Center as an additional named insured and the coverage afforded by such policy shall be primary in relation to any coverage afforded by any insurance policy carried by such
parties.
Technology Needs (additional Cost)*

Sound SystemMicrophone/PodiumProjector/Screen/TVAdapters (HDMI cable, adapters for laptops)I don't need any of the above
Should be Empty: