NORWICH FAMILY YMCA RENTAL APPLICATION

Name (or Organization): _____________________________________ Contact Person: ____________________________________________ Address: __________________________________________________ City: _________________ State: ______ Zip: __________
Home Telephone: ______________________

Work Telephone: _________________ Cell Phone: ________________ Date of FACILITY RENTAL: _____________________ TIME: ________
SIGNATURE OF RENTER: ___________________________________________________ STAFF APPROVAL: _____________________________ DATE: ________

TYPE OF RENTAL:

FACILITY OPTION
	MEMBER COST
	NON-MEMBER COST
	
KIDS GYM PARTY
	$80.00
	$100.00
	
POOL PARTY
	$80.00
	$100.00
	
Pool Party After Hours
	$60.00 per hour
	$75.00 per hour
	
Camp Thompson
	See Camp Option Sheet
	See Camp Option Sheet
	
Community Room
	$40.00 Per Hour
	$65.00 Per Hour
	
Gymnasium
	$30.00 Per Hour
	$55.00 Per Hour
	
Whole Facility 9pm.-12a.m.
	$150.00 Per Night
	$250.00 Per Night

1. Facility 9p.m.-12a.m. rentals are only held on Saturday Nights.

2. All Gymnasium, Facility and Camp Rentals MUST be Approved by the Executive Director. 3. All Community Room Rentals Must be approved by the Youth and Family Director.
4. Front Desk can confirm and register Kids Gym and Pool Parties without confirmation from the director.

NORWICH FAMILY YMCA FACILITY RENTAL AGREEMENT For community-based organizations, groups, families, and businesses

This agreement made this day _____________, 20_____, by and before the Norwich Family YMCA hereinafter called the “YMCA” and ________________hereinafter called the “licensee”.

1. For Consideration of $ ____________. The YMCA agrees to furnish and make available to the licensee the facility at the time(s) and on the day(s) specified above.
2. The Licensee agrees that at all times:

a. In addition to the “hold harmless agreement/contract”, a certificate of one's insurance naming the YMCA as additionally insured is required to rent the facility.
b. Renters will comply with all laws, ordinances, and regulations of all public authorities having jurisdiction over the YMCA’s premises.
c. They shall possess any and all licenses or certificates necessary for the activity wishing to be conducted.
d. They shall hold harmless, indemnify, and defend the YMCA against any and all claims, including expenses and attorney fees, arising from or pertaining to such an activity sponsored by the licensee, or by anyone claiming by, though, or under the licensee, employee, agent, customer, or invitee.
e. The YMCA agrees without charge to the licensee, to furnish all light and water and access to the facility in connection with the licensee’s activity at the facility. The Licensee shall leave the facility IN CLEAN AND OPERABLE CONDITION as found upon arrival.
3. It is expressly agreed and understood that the YMCA shall not be responsible or liable for any harm, injury, or property damage which may be suffered by any participant in the Licensee’s activity or their supervisory personnel when entering, using or leaving the facility, or any part of the YMCA’S premises, unless such injury is caused by negligence of the YMCA in respect to a duty to which it’s responsible for performing in connection with this agreement.
4. In each case where the YMCA is unable to provide the contracted facility service because of mechanical or equipment failure or cause beyond its control, the value of the service not delivered may be refunded to the licensee in full payment of all loss thereby sustained by licensee.
5. If this form is being completed for a Camp Thompson rental, by signing this form I also acknowledge that I have read and will adhere to the Camp Thompson facility and property rules as outlined.