HASTINGS COMMUNITY EDUCATION & RECREATION CENTER

REQUEST FOR BUILDING USE

(Must be received at least 10 days prior to the event)

Person Making Request ______E-mail address: ______

Classification: ____School Program ____School-Related group/Government groups ____Commercial and private groups

____Community groups (non-profit)/Civic and religious groups

Address______City______State______Zip______

Name of Organization ______

Phone Number: Day______Evening______Fax______

Type of Event______

Area requested: □Pool □ Meeting Room □ Kitchen □ Gym □ Teen Center □ Cardio/Weight Rooms

Date of Event ______Number of Participants______

Arrival Time______Departure Time______

*Estimated labor fees include one half hour before and after the event. Utility fees and rental feel will be charged if appropriate.

Actual cost will be invoiced following the event. A 2 hour labor fee will be charged if event is canceled less than 24 hours in advance.

I understand that I am responsible for the facilities and equipment used and the cost for cleaning, repair, or replacement if damage or loss results during the time of my use of the facilities.

Applicant______Date______

------OFFICE USE------Group Classification: ______Date Received:______

Rental Costs: Hours x Cost Total

Pool $80.00 per hour up to 24 persons; additional $15 per hour every 24 over ______x ______= ______

Meeting Rooms: $17.00 per two hour period ______x ______= ______Gym: $75.00 per two hour period ______x ______= ______

Lock-ins: Complete facility, less pool: $100.00 per hour ______x ______= ______

(Includes gym, teen center, meeting rooms, meeting room kitchen, and fitness room)

Swimming Pool: $125.00 per hour (includes labor & utilities)______x ______= ______

Charges:

Utility charges: $7.50 per hour (heat, lighting and water expenses) ______x ______= ______Labor: Hours of event + 1 ______x ______= ______

Estimated Fees: = ______

Special requirements: ______

______

*A $100.00 deposit is required on all overnight events. Cancellations 2 weeks prior to event will receive a full refund; cancellations occurring after the 2 week period will forfeit their deposit.

Approved by ______Date ______

Director

Approved by ______Date______

Assistant Superintendent

Event # ______Entered into reservation system on ______By ______