ࡱ> LNK 4bjbj *: 087D{/$(nlHp~#######%(#i-"--#3#= = = -~#= -~#= = { >#0c.#j##0/$6#+)O+)>#+)>#,<^= LG##j/$----+) : Jones House Community and Cultural Center Small Event Form (This form is for events involving no more than 25 participants.) Person making arrangements (Responsible Party)  FORMTEXT       Title  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Zip FORMTEXT       Telephone FORMTEXT      (day) FORMTEXT      (night) Email  FORMTEXT       Alternate number  FORMTEXT       Type of Event FORMTEXT      Date of event FORMTEXT      Time of event Set-up time/day FORMTEXT      Clean-up time/day (No supplies or food may be brought into the building prior to the scheduled time of usage, nor left afterwards. Please allow adequate time for set up and clean-up when reserving the building.) Caterer s Name FORMTEXT       Telephone Number FORMTEXT       Will you be serving alcohol? FORMTEXT      Type FORMTEXT       Bartender s Name FORMTEXT       Date and number of alcohol permit FORMTEXT       Other Professional (Performer, DJ, etc.) FORMTEXT       Type of Service  FORMTEXT       Telephone Number FORMTEXT       ROOM(s) to be Used FORMTEXT       Estimated Number of Participants  FORMTEXT       Refreshments FORMTEXT       Yes  FORMTEXT      No  Please provide a brief description of all plans and activities (continue on reverse if needed):  FORMTEXT       Rental of the entire building is recommended for private events. Rent must be paid in advance of the event. (see fee schedule for rates) A cleaning deposit is required for all private meetings and receptions and may be refunded at the discretion of the Executive Director. Plans to serve alcohol must be approved in advance by the Executive Director and an additional alcohol deposit is required and may be refunded at the discretion of the Executive Director. A staff person of the Executive Directors choosingvZ \ p r t ~      , . 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This is payable directly to the staff person at the completion of the event. If sound equipment is to be used, an hourly fee is to be paid to the appointed sound technician is required for all private events and is payable directly to the technician at the completion of the event. Any fees owed for exceeding the scheduled hours will be deducted from the applicable deposits. Failure to comply with the rental policies of the Jones House Community Center will result in the forfeiture of all deposits. All monies are deposited with the Town of Boone and refund checks are issued through the town. A processing fee will be charged by the town for returned checks.  Payment Record: Deposits: Date pd________________ Amount pd_____________ Accepted by____________ Rental Fee: Date pd________________ Amount pd_____________ Accepted by____________ THE ARRANGEMENTS LISTED ABOVE ARE INVALID WITHOUT THE FOLLOWING SIGNATURES: I have received a copy of the Jones House Community Center Usage and Rental Policies and have read them and agree to all conditions and requirements outlined therein. Signed Date (Responsible Party)  I have met with the appropriate parties listed above and approve all activities described herein. 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