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RENTER’S NAME:
___________________________________________________________
ADDRESS:
__________________________________________________________________
CITY, STATE, & ZIP:
_________________________________________________________
TELEPHONE
NUMBER(S):_____________________________________________________
DATE OF RENTAL:
__________________________________
EVENT TYPE:
_________________________________ # OF PERSONS: ________________
APPROXIMATE HOURS OF
USE:________________________________________________
RENTAL AMOUNT
$_____________________
DEPOSIT AMOUNT $________________
SIGNED:
____________________________________________DATE:______________________
PLEASE REMIT FULL
PAYMENT, SIGNED INDEMNIFICATION AGREEMENT, AND SIGNED RENTAL AGREEMENT TO:
STACY PETTIT
W6210 FOREST DRIVE
MERRILL WI 54452
Questions: STACY PETTIT,
SUPERVISOR
(715)539-8395
ACPTD BY:
_______________________DATE_______________AMNT RCVD:_________
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
Please read this form
carefully and be aware that in using the Town of Merrill facilities you and
your organization will be waiving and releasing all claims for injuries that
you or your members might sustain.
ACKNOWLEDGEMENT OF RISK OF
INJURY CLAUSE:
I/We and the group I
represent, acknowledge that there are certain risks of physical injury that
may arise in connection with our use of the Town of Merrill facilities.
I/We agree to assume the full risk of injuries, including death,
damages, or loss, which I/we may sustain as a result of participating in any
and all activities connected with our use of the Town of Merrill facilities.
WAIVER OF CLAIM FOR INJURY
CLAUSE:
I/We agree to discharge,
waive, and relinquish the Town of Merrill officers, agents, and employees of
all claims, demands, damages, rights or courses of action, present or
future, which I/we may have as a result of the use or intended use of the
facilities.
RELEASE FROM LIABILITY
CLAUSE:
I/We fully release and
discharge the Town of Merrill and its officers, agents, and employees from
any and all claims for injuries, including death, damage, or loss which I/we
may have or which may accrue to me/us on account of my/our use or intended
use of the facilities.
INSURANCE:
If requested by the Town
Board, I/we shall provide proof of liability insurance covering my/our use
of Town of Merrill facilities, and also if requested, name the Town of
Merrill as an additional insured on such policy.
INDEMNITY AND DEFENSE
CLAUSE:
I/We further agree to
indemnify and hold harmless and defend the Town of Merrill and its officers,
agents, and employees from any and all claims resulting for injuries,
including death, damages, and losses sustained by me/us and arising out of,
connected with, or in any way associated with the use or intended use of the
facilities, and further agree to reimburse and pay the Town of Merrill
costs, including without limitation, attorney’s fees for investigating,
defending, and/or resolving any claim that may be made against the Town of
Merrill, and/or its officers, agents, and employees arising out of or in any
way connected with my/our use of the Town of Merrill facilities and
equipment.
I HAVE READ AND FULLY
UNDERSTAND THE ABOVE AGREEMENT,
SIGNED_____________________________________________
DATED ________________
SIGNED______________________________________________
DATED________________
ORGANIZATION______________________________________________________________
Individuals and
organizations wishing to use the Town of Merrill facilities shall:
1.
Complete a Rental
Agreement Form & Indemnification & Hold Harmless Agreement.
2.
Submit the required
fee and security deposit upon acceptance by the Town.
3.
Accept the rental
hours of operation as 7:00 am until 12:00 am midnight.
4.
Use only approved
decorations and hangers provided. Do not use any mounting screws, tacks,
tape, or nails of any kind. Glitter of any kind is strictly prohibited. Use
of glitter will result in loss of security deposit.
5.
No smoking is
allowed in the building. Smoking is allowed outside in designated areas.
6.
Provide sufficient
adult supervision, a person 21 years or older, at all times.
7.
Do not stand or sit
on tables and do not stand on chairs. Do
not remove tables, chairs, or any other town property from the hall.
Do not take any furnishings outside.
8.
Clean and restore
facilities to a least as good as condition as they were when usage began.
Remove all trash inside and outside of building that is created by
your function and place it in the container provided.
The security deposit will be withheld accordingly if there is damage
to the facility, missing town property, or significant cleaning required.
9.
Park only in
designated areas.
10.
Alcoholic beverages are allowed,
but are subject to state and local ordinances.
A bartender licensed in the State of Wisconsin is required if alcohol
or liquor is sold at an event. This is the responsibility of the person that
signed the rental agreement.
11.
The cancellation policy for
cancellation of a rental is as follows:
a.
Full refund of the
rental fee and security deposit will be given if a written notice of
cancellation is received 6 months or more prior to the rental date.
b.
A refund of the
rental fee will be given if written notice of cancellation is received 4-6
months prior to the rental date. The entire security deposit will be
forfeited.
c.
Written notice of
cancellation received less than 120 days prior to the rental date will
result in a complete forfeiture of the rental fee AND security deposit.
d.
The date the
written notice of cancellation is received by the Town of Merrill will be
the official date of cancellation.
12.
No pets allowed on the premises.
13.
Contact Stacy Pettit or Bill
Burgner@715-536-3295 to acquire a key.
Town of Merrill
Community Center Rental Fee
Schedule
Town of Merrill
Resident: $150/day/event
Town of Merrill
Resident Security Deposit: $150
Non-Resident Fee:
$200/day/event
Non-Resident Security
Deposit: $200
Wedding - Town of
Merrill Resident: $350
Wedding - Town of
Merrill Resident Security Deposit: $400
Wedding -
Non-Resident Fee: $400
Wedding -
Non-Resident Security Deposit: $400
**If the facility is
rented for a wedding, it may be rented the day before/after at the following
rates, regardless of residency:
Day prior - Noon
until Midnight: $75
Day after - 7 am
until 5 pm: $100
Seminar/Expo: $400
(No Discount Applies)
Seminar/Expo Security
Deposit: $400
Wedding/Baby Showers:
$75
*4-Hour Rental
*Less than 50 people
Meetings: $10/hour
(no use of kitchen)
Rates are subject to
change and review by the Merrill Town Board. The Town Board has final
approval on all applications submitted. The Town of Merrill reserves the
right to check attendance/events.
Rental dates are not
guaranteed until full payment, including event fee and security deposit,
indemnification agreement, and rental agreement have been received.
The community center is rented on a first-come, first-served basis.
Neither a phone call or incomplete paperwork will “hold” the date.
All fees must be included with paperwork. Please make checks payable to
: Town of Merrill