LYCEUM CLUB OF TARRYTOWN

LYCEUM CLUB OF TARRYTOWN

Tarrytown, New York 10591 www.lyceumclubtarrytown.org lyceumclubtarrytownrentals@gmail.com
CLUB RENTAL APPLICATION and AGREEMENT
The Lyceum Club of Tarrytown space is available to rent for birthday parties, team-building events, non- profit fundraisers, and more.

The Club space is available in time blocks of up to 5 hours.

**Please note, Gym rooms and Kitchen are not included in rentals.
Applicant's Full Name*
Applicant's Street Address*
City*
State*
Zip*
Primary Phone #*
May we text this phone number?*

YesNo
Applicant's Email Address*
example@example.com
Is the applicant a member of the Lyceum Club of Tarrytown in good standing?*

YESNON/A - not a member
Date of Event*

MonthDayYear
Date
Please describe the event (ie. birthday party, non-profit event, family event, etc):*
Event Start Time:*

Hour Minutes

AM/PM Option
Event End Time:*

Hour Minutes

AM/PM Option
Approximate Number of Attendees (max capacity = 125; no pets):*
Will children be present at the event?*

YesNo
Will the event include the use of the 4-lane bowling alley?*

YesNo
**NON-MEMBER APPLICANTS: a Club Member must "sponsor" and be on-site during the event. Please indicate the Referring member's information below.
Name of Referring Member*
Applicant's Relationship to Member*
Referring Member's Primary Phone #
RENTAL RATES (payable upon submission of application):
- Non-Members: $1,500 for rental, plus $200 security deposit
- Lyceum Club Members in good standing: $600 for rental; security deposit waived
RENTAL APPROVAL PROCESS:
1. Rental application, agreement and payments are submitted through Lyceum Club's website.
2. If APPROVED, the event will be published to the Lyceum Club's website calendar; Rental Director will follow up with communication within 1-2 weeks of the event.
3. If DENIED, Rental Director will reach out within 30 days of submission. Fees will be refunded via paper check mailed to applicant's address.
LYCEUM CLUB RENTAL FEES (please select one option below):*
prevnext( X )
Club Member - Event Rental Fee
$600.00 Quantity

NON-MEMBER - Event Rental Fee + Security Deposit ($1,500 + $200)
$1,700.00 Quantity

Total

$0.00
Total Fees Paid:
ACKNOWLEDGEMENTS:

Please read and INITIAL each statement below to confirm your understanding and acceptance of the Lyceum Club rental policies as listed below.
I agree to remit the total fees as outlined above via electronic method of my choosing with submission of this application.*
Please initial
I agree to be in attendance for the full duration of the event. I understand that I am responsible for the actions of my guests, and responsible for any damage that occurs during the period of requested use.*
Please initial
LYCEUM CLUB POST-EVENT CLEANING PROCEDURES:
- Return all tables, chairs and other furniture back to their original locations
- Mop and vacuum floors
- Wipe down all used countertops/tables/surfaces with cleaning solution; no bleach cleaners on wood furnishings
- Clean the bathroom sink, toilet and floors with appropriate cleaners.
- Bag and tie up all trash and place in the hallway adjacent to the Kitchen.
- Sort all recyclables glass, cans, cardboard/paper and place in the blue bins or in bags next to the trash in the hallway adjacent to the Kitchen.
**Cleaning supplies are supplied by the Club.
I have read the above cleaning instructions and agree to leave the Club clean after the event (by end of same day for daytime events OR by 11am the following day for evening events).*
Please initial
I agree to hold and save harmless the Lyceum Club of Tarrytown, including all its officers and members from any and all damages, costs and expenses which may arise due to bodily injury, property damage or personal injury to any party(s) or person(s) resulting from or arising out of our use of said property, known as the Lyceum Club space, occasioned wholly or in part by any acts or omissions by me and my guests.*
Please initial
I agree that if event activities become disruptive, dangerous, or cause discomfort to attendees, that a Lyceum Club Board member will be contacted immediately.*
Please initial
I, as a member of the Lyceum Club of Tarrytown in good financial standing, agree that any misrepresentation regarding the nature or size of the event could result in membership status being revoked indefinitely.*
Please initial
NON-MEMBERS: I understand that the Security Deposit of $200 covers the Lyceum Club against any potential damages or excessive clean up. The disposition of the Security Deposit will be determined after inspection of the Club space by a Lyceum Club of Tarrytown Committee member; any deposit reimbursement will be mailed via paper check to the host's address.*
Please initial
Applicant's Signature*

Clear
Submission Date

MonthDayYear
Date

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

CLUB RENTAL APPLICATION and AGREEMENT

**NON-MEMBER APPLICANTS: a Club Member must "sponsor" and be on-site during the event. Please indicate the Referring member's information below.