2018 JPYC Club Rental Agreement
Email address *
Full Name *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
What Type of Member Are You? *
Proposed Rental Date *
MM
/
DD
/
YYYY
Proposed Rental Time *
Time
:
Event Type (e.g., birthday party, baby shower, etc.) *
Your answer
Certification: I certify that I have read the JPYC Club House Rental Agreement. I certify that the terms of my proposal rental do not violate the JPYC Club House Rental Agreement or any of JPYC's rules. I understand that if I do not return the clubhouse in good condition my security deposit may be forfeit. *
Required
A copy of your responses will be emailed to the address you provided.
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