| Location | or | Mail to: |
| 28 Abbe Road East Windsor, CT 06088 (860) 627-8208 |
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PO Box 565 Broad Brook, CT 06016 (860) 289-5085 |
Will you be charging a fee ? Yes ( ) No ( ) Printable PDF Form
Event Date ___________________ Day of Week ____________________ Needed Weekly Y ( ) N ( )
Type of Event/Organization___________________________________________________
Room Number __________________________ Number of People_____________
Setup Time ____________ Event Beginning Time _____________ Event Ending Time_______________
Name ________________________________________________ Phone ________________________
Address _______________________________ City ________________________ ST __ Zip_________
email address ________________________________________________________________________
Contact Person/Chaperone _______________________________ Phone Number ___________________
| C h e c k B o x e s | Assembly Hall | Barn Activity Area | ||||
| Stage (Portable Stage available) | Camping Area | |||||
| Dumpster or | ||||||
| Take Trash with you | ||||||
| Food Prep. Area | ||||||
| Mtg. Rm. 1 | ||||||
| Mtg. Rm. 2 |
| Room Fee | Security Dep | Amt Rec’d | Date Rec’d | Check # |
| You will lose your deposit if we find evidence of alcohol any where on the Scout Hall property, before, during or after your event. Initial _________ Date _______________ |
I HAVE READ THE ABOVE AGREEMENT AND THE ATTACHED RULES AND ACCEPT THE CONDITIONS OF THE RENTAL AGREEMENT AND WILL BE LIABLE FOR ANY DAMAGE.
Signature:______________________________________ Date ________________
Call Nancy Masters at (860) 289-5085 to confirm or discuss options.SCOUT HALL ASSEMBLY BUILDING DRUG AND ALCOHOL POLICY: No one shall possess, use, dispense, distribute, sell, or aid in the procurement of alcohol, narcotics, restricted drugs, mood altering substances, or drug paraphernalia, either in the building or on the grounds. Violations of this policy will restrict use of the hall by that organization/person until corrective action has been taken. The Scout Hall Youth Center is on town property and the E. Windsor Police will arrest all persons violating this policy.
| You will lose your deposit if we find evidence of alcohol any where on the Scout Hall property, before, during or after your event. Initial _________ Date _______________ |
RULES