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Rental Application

Application for Rentals

 

1. The cost of renting the building known as the John Lewis Resource Center, Ellaville, GA 31806, is $175.00 plus an additional clean-up fee of $75.00. If the building is left clean, the $75.00 clean-up fee will be reimbursed. The renter also agrees to pay for all damages to the facilities of Schley County Association of Concerned Citizens caused by any negligent, reckless, or willful actions by our and other individuals associated with us.

2. The rental of the building is on a first come with payment basis.

3. In order to reserve the building, a deposit fee of $100.00 is required. The remainder of the fee $150.00 must be paid in full three weeks before the scheduled event. Once the property has been inspected and found to be clean, a reimbursement of $75.00 will be given.

Name _________________________________________

Address__________________________________________________________

Telephone  #  ______________________________________

RELEASE OF LIABILITY

 THIS AFFECTS YOUR LEGAL RIGHTS In exchange for participation in the activity of Rental of Building at _____________________________________________ organized by Schley County Association of Concerned Citizens, of P. O. Box 405, Ellaville, Georgia, 31806 and/or use of the property, facilities and services of Schley County Association of Concerned Citizens, We, _________________, of _________________, _________________, _________________ _________________, agree for the organization, to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. We agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Schley County Association of Concerned Citizens, or the employees, representatives or agents of Schley County Association of Concerned Citizens.

 2. ASSUMPTION OF THE RISKS AND RELEASE. We recognize that there are certain inherent risks associated with the above described activity and we assume full responsibility for personal injury to ourselves and other individuals associated with  us, and further release and discharge Schley County Association of Concerned Citizens for injury, loss or damage arising out of our organization’s or group’s use of or presence upon the facilities of Schley County Association of Concerned Citizens, whether caused by the fault of myself, my family, Schley County Association of Concerned Citizens or other third parties.

3. FEES. We agree to pay $175.00 for renting the building plus an additional clean-up fee of $75.00. If the building is left clean, the $75.00 clean-up fee will be reimbursed. The renter also agrees to pay for all damages to the facilities of Schley County Association of Concerned Citizens caused by any negligent, reckless, or willful actions by our and other individuals associated with us. In the event the renter should cancel after the deposit has been made, the deposit will be returned within 10 days.

4. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Georgia law.

5. NO DURESS. We agree and acknowledge that we are under no pressure or duress to sign this Agreement and that we have been given a reasonable opportunity to review it before signing. We further agree and acknowledge that we are free to have our own legal counsel review this Agreement if we so desire. We further agree and acknowledge that Schley County Association of Concerned Citizens has offered to refund any fees we have paid to use its facilities if we choose not to sign this Agreement.

6. EMERGENCY CONTACT. In case of an emergency, please call _________________ (Relationship: _________________) at _________________ (Day), or _________________ (Evening).

 WE HAVE READ THIS DOCUMENT AND UNDERSTAND IT. WE FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, WE VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

 

 Dated: _________________ Signature: ________________________________________ _________________

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