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Class and Event Booking Form
Healium Center Foundation, Inc
Event Address: 344 Candler Park Drive, Atlanta GA, 30307
Contact us at (404)-216-8877 // E: healiumcenter@gmail.com IG healiumcenteratl
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Email *
FEE UPDATE: Please note that during Covid-19 (2020-2022) our MINIMUM RENTAL FEE IS $1000
Cellphone #
Name of Organization or Event *
Contact Email *
Non- Profit ID
Which rooms will you require? *
Required
Room Amenities Required
Chairs and tables needed *
Type of Event *
What type of event is this?
How often would you like you event to occur?
Clear selection
Event Start date
MM
/
DD
/
YYYY
Event End Date
MM
/
DD
/
YYYY
What day(s) of the week do you require?
Which class time block(s) will you need? *
Required
Which event time block(s) will you need?
Clear selection
How will you handle YOUR student / patron payment?
How many people are you expecting?
What is the age group of attendees?
Do you have event liability insurance?
Clear selection
Please provide insurance limit, certificate number, and company name below.
Do you already have a Meetup for this event?
Clear selection
What social media will you use to promote this?
How will you be settling your rental payment? *
Terms & Conditions
A non-refundable reservation deposit of 50% of the rental rate is due at the time of the
reservation with the signed rental agreement. Deposits are required to secure the date of the
event.

The balance of the reservation fee is due no later than 7 days prior to event. No exceptions.

A refundable damage deposit is required in CASH for every event as follows:
< $500 rental fee @ $100
$500-$1000 rental fee @ $200
$1000> $1900 rental fee @ $300
$1900> $3000 rental fee@ $500
$3000> rental fee @$700
$100 cleaning fee will be deducted and the balance of  this deposit will be used against any damage, excessive cleaning caused by the client, guests or vendors. Return of this deposit shall be upon satisfactory inspection at the end of your event.

Damage Waiver:
All equipment provided to you is not to be altered, moved or modified. Renters equipment left over
night is at your own risk and Management or Facility is not responsible or liable for loss or damage.
No flammable or combustible effects will be allowed. No change to facility's structure is allowed.
All proposed enhancements to your event must be authorized in writing by Management prior to event.

ALL SALES ARE FINAL. NO refunds or exchanges will be given.

We are not responsible for money transfer charges.

No guns or weapons allowed on the premises.

We reserve the right to refuse entry to anyone not abiding by our rules

I have read and accept the above terms & conditions:

Date___________________________      X__________________________________________________(Please sign in person)
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