MAUD Community Room Contract

Community Room Rental Agreement Maud Housing Authority
Name of Person/Organization/Group*
Address*
Contact Names
Phones: Work/Home/Cell (2#s)*
Purpose (birthday, meetings, etc)*
Date of Reservation*

MonthDayYear
Date
Rates and Fees: Check All That Apply*

$30 Rental Per Day$50 Rental for Profit*Waiver (Explain)
Total Due
*Waiver Explanation
Cancellation must be made Three (3) days prior to the event date. Rental Fees must be received and keys must be signed out before the last business day before room rental. If fees are paid prior to use and keys are not signed out, the fee will not be returned. Any required deposits are refundable as long as all housekeeping requirements are met, and key is returned promptly. The undersigned party responsible is personally responsible for and liable to the Maud Housing Authority for any damage which are sustained by the property during the time period listed above. One (1) adult chaperone is required for every ten (10) minors. Please list chaperones names and contact numbers on the reverse.
Signature of Responsible Party*

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Date*

MonthDayYear
Date
Signature of Receipt or Reading of Community Room Policy*

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Date of Receipt or Reading of Community Room Policy*

MonthDayYear
Date
Should be Empty: