Clubhouse Rental Form Resident's Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Reservation Request InformationHours Available for Reservation: Monday – Thursday 6PM – 11PM Friday – Sunday 10AM – 11PM Deposit Required: $350 – Flat Charge: $150 – COVID-19 Disinfectant Charge: $50 Requested Date* MM slash DD slash YYYY Requested Time : Hours Minutes AM PM AM/PM Type of Function Being Held* Number of People AttendingMaximum occupancy is 35. AGREEMENT BETWEEN RESIDENT AND THE ASSOCIATION:The clubhouse may be used for the above purpose only on the date and time specified above. I will pay the $350 deposit at the time of this reservation. Posting of said deposit shall not limit my ability to pay for damage occurring to the premises during the time of this function or for any necessary cleaning required to return the premises to their original condition. I will not hold the Association responsible for failure to provide services for which the Association has no control. An attendant charge of $15 per hour or any fraction thereof will be added to my cost. The charges for the use of the clubhouse will be deducted from the above mentioned deposit. In the event the charges exceed the deposit, I will be billed the additional amount and pay said amount with ten (10) days. All decorations must be taken down before vacating the clubhouse. No food or drink is allowed in the carpeted room. No tape will be placed on windows, walls, or woodwork. Guests must park on Burbank or Bolgos where ‘Clubhouse Parking’ signs are displayed. If, for any reason, I do not attend/remain at the function I am sponsoring through clean-up and sign the party report form, I will forfeit the entire deposit. If I cancel this reservation, 50% of the deposit will be forfeited. I agree to release Chapel Hill Condominium Association, its agents and employees, and will hold them harmless from any liabilities which may arise from incidents or accidents related to my use of the Chapel Hill Clubhouse and facilities to the extent allowed by law. I agree