BCC Rental Reservation Form
Name of Responsible Party: *
Your answer
Address: *
Your answer
Phone Number: *
Your answer
Alternate Phone Number:
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Email Address:
Your answer
Function/usage: *
Your answer
Date of event: *
MM
/
DD
/
YYYY
Ending date of event if renting for more than one day:
MM
/
DD
/
YYYY
Reserved time (start): *
Time
:
Reserved time (end): *
Time
:
Rental Duration (how many hours?) Please note: Minimum rental fee is $50 for the first 4 hours, and $10 for each additional hour. Maximum charge $90 per day for each building rented. *
Your answer
Reserved Areas of Use: Pick all that apply. A separate rental charge will apply to each building rented. *
Required
Size of Group (approximate): *
Your answer
Will there be alcohol at this event? *
Are you requesting use of the Ping Pong table or Wii/TV/DVD? (a separate deposit may be required) *
Type of event: *
Additional Notes, Comments, or Concerns:
Your answer
Responsible Party Signature
Agreement(s): Responsible party agrees to hold harmless the Brooktondale Community Center and its Board of Directors regarding use of alcoholic beverages at this function. It is understood that approval does not include EXCLUSIVE access since the grounds and outside facilities and equipment are open to the public at all times. The scheduler and coordinator of the Brooktondale Community Center reserve the right to charge for cancellation. PLEASE NOTE: If you do not receive the "Thank you for your request" box after clicking the submit button, your reservation request has not been received. This could be because of a faulty internet connection, or because you have not completely filled out the required answers. Common problem: Have you remembered to select "AM or PM" in the rental time request? If you continue to have difficulty, or haven't received a response within 48 hours, please email jah242@cornell.edu
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