Clubhouse Rental Application

To rent Brookfield Swim Club for a private event, please print the Rental Application and mail it to Brookfield Swim Club. Please read the policy and rules documents prior to submitting your application.

On-line Copy of Application

BROOKFIELD SWIM CLUB (BSC) CLUBHOUSE
RENTAL CONTRACT

Name ____________________________________________________
Member# _____________________

Mailing ____________________________________________________
Address ___________________________________________________
Phone: Daytime ____________________ Evenings __________________

Which Facility?
Pool Deck Only ___ Clubhouse with Pool Use ___, Clubhouse Only ___

When do you wish to use the BSC facility?
Date(s): ________________ Start Time: ___________ End Time: _________

PURPOSE: Private Party______ Other ________________________________

(Describe - Note: No Business Activities Allowed)

Number of people (by law, max capacity is 150) ____________________

Will majority in attendance with by Adults (21 years or older) (circle one) Yes / No

Will alcohol be served? (circle one) Yes / No

(Member is responsible to ascertain a Virginia ABC license if required)

Facility Fee: $__________ Damage Deposit: $________ Cleaning Deposit: $ 100
$100, $200 or $500

I have read the BSC Rental Policy regarding the use of the Clubhouse and agree to abide by these regulations.

The security deposit is refundable provided the areas are returned to their pre-rental condition. A walk through inspection is required by the renter. At this time any discrepancies must be noted on the back of this form. The management agent will conduct a second inspection before and after the activity and at this time any damage will be noted.

I/We accept full responsibility of maintaining the condition of all property (building walls, carpeting, furniture, appliance etc.) as originally provided at the time of the prevent inspection. In the event damages exceed the total dollar amount of the security deposit, I/We hereby agree to pay all reasonable cost, attorney's fees, and expense that shall be incurred by the BSC if legal action is taken to enforce the term of the Agreement.

By signing this Contract, I agree that I am responsible for the conduct of Members and guests during the scheduled activity. I agree that I am responsible for any damage to the BSC building or its furnishings occurring during the scheduled activity. I agree to indemnify, defend, and to hold harmless the BSC, the BSC Board of Directors, and the BSC Clubhouse Committee as to any claim, loss, injury or damage to person or property resulting from the use of the BSC building during the scheduled activity.

Signature of Renter _________________________ Date ________________
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OFFICIAL USE ONLY

Is member's dues up to date? (circle one) Yes / No
Approved by: _____________________ Date: __________ Key #:________