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Rental Agreement | ||
Peachtree Road United Methodist Church, Department of Sports, Recreation and Life Enrichment | |||
3180 Peachtree Road | DATE: | ||
Atlanta, GA 30305 | INVOICE # | ||
Phone 404.240-8222 Fax 404.266-0063, cakin@prumc.org, www.prumcsports.org | FOR: | ||
Renter: | |||
Name | |||
Company Name | |||
Street Address | |||
City, ST ZIP Code | |||
Phone | |||
DESCRIPTION | AMOUNT | ||
PRUMC Sports and Recreation Facility Rental | |||
Rental Fees: $75 per hour , 2 Hour minimum | |||
Use of PRUMC Sports and Recreation facilities is at the sole discretion of PRUMC | |||
A PRUMC staff member must be on site during facility usage. | |||
All rental fees must be paid in advance! | |||
Use of PRUMC Sports and Recreation equipment is at the sole discretion of PRUMC Sports and Recreation and may result in additional charges. | |||
Food is only allowed in designated areas – never in the Gym. | |||
Set-up and clean up is the responsibility of the user. | |||
_____ Certificate of Liability Insurance Required. Please have a certificate issued to Peachtree Road United Methodist Church, 3180 Peachtree Rd Atlanta, GA |
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Dates and hous of use & Rental Descrtiption: |
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Aditional Charges: | $ | ||
Total: | $ - | ||
Credit Card or Check #________________________________ | |||
Expiration Date: ______________ | |||
Signature of Card Holder________________________________________ | |||
Mail to: Peachtree Road United Methodist Church | |||
Attn: Charles Akin | |||
3180 Peachtree Road | |||
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Guests List
By signing this document, the guardian confirms
that he or she has authority to sign, has read the entire document and has
understanding that the
document waives certain rights of the person signing or the participant
I recognize
that there are inherent risks involved in sports or other program activities in
the Peachtree Road United Methodist Church (PRUMC) Department
of Sports, Recreation and Life Enrichment. In consideration of the services
provided, I hereby release and hold harmless, PRUMC and its Department of
Sports, Recreation and Life Enrichment and its Directors, employees, and agents
from any and all liability for injuries, including those resulting in death,
and illnesses incurred while participating or attending any event or in any
facility of PRUMC.
Name of Participant |
Name of Parent / Guardian (if participant under age 18) |
Signature of Participant ( or Parent/Guardian) |
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