FACILITY RENTAL APPLICATION
Please complete this form in order to reserve space within the AlexRenew Facility at 1800 Limerick Street, Alexandria, VA 22305. Please allow up to one week for internal review of each request.
By completing this form, the undersigned agrees to and hereby does assume all financial responsibility for any loss or damage to rented facility, its property, and any other Alexandria Renew Enterprises property, which is caused, in whole or part, by any act or omission of the Renter, its employees, agents, or in connection with their use of rented facility. The undersigned also agrees to indemnify and hold harmless Alexandria Renew Enterprises and all of its agents, officers, and employees from and against all suits, actions, causes of actions, damages, claims, agents, guests, or licenses. The Tender has read and agrees to comply with all terms and conditions stated on this form. FINAL APPROVAL OF THIS PERMIT IS CONTINGENT UPON APPROVAL BY THE COMMUNITY OUTREACH MANAGER.
Name of Organization
Resident of Alexandria
City of Alexandria Agency or affiliate
Non-resident of Alexandria
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