For rental information, call the Satellite Beach Recreation Department at 773-6458.

Facility or Room Requested 1.________________________________________

2._______________________________ 3._________________________________

Reservation Date 1.______________ Time Requested _____________ Fee______/______=_______

Addl Date 2. ___________________ Time Requested _____________ Fee______/______=_______

Addl Date 3.___________________ Time Requested _____________ Fee______/______=_______

Damage Deposit Fee Quoted (for all rooms)____$100________ each room

Applicant Information ______________________________________________________________

Individual’s Name Organization name if applicable

______________________________________________________________

Address, City, State, Zip

______________________________________________________________

Daytime phone # Evening phone #

Is this date confirmed? ____yes ____no Approximate attendance? ________

Will alcohol be served? ____yes ____no DJ or Band? _____yes ______no

Damage Deposit, Rental Fee, Forms due by: 1.__________________ 2._____________________ 3.__________________

Additional individual authorized to pick up key ___________________________________________

Additional individual authorized to pick up deposit ________________________________________

Signature of reserving group’s authorized individual/individual ______________________________

Reservation forms completed 1._________ 2.__________ 3.__________

Rental fee receipted 1.#______________ 2. #_____________ 3. #_____________

Security deposit receipted 1.#____________ 2. #______________ 3. #______________

Facility Walk through Yes____ No_____ Date/time __________ Completed _____

Key check out 1. _____ 2. _____ 3. ______ Key returned 1._____ 2. ______ 3.______

Record any damages to facility ______________________________________________

Damage deposit refund received ___________

AGREEMENT, executed this ______day of ______, _____ between the City of Satellite Beach (hereinafter "City") and _________________________________________(hereinafter "reserving group/individual").

WHEREAS, the City is willing to allow the reserving group/individual to utilize its city facilities subject to certain restrictions and guidelines, and

WHEREAS, it is in the best interest of both parties in this AGREEMENT that there be no misunderstanding regarding the guidelines for reservation and use of City facilities, the following guidelines and restrictions shall apply:

The following City facilities are covered by these guidelines, rules and responsibilities: Pelican Beach Clubhouse, Auditorium, Scotty Culp Room, Oleander Room, Breezeway, Kitchen and David R. Schechter Community Center (all facilities located within the DRS Community Center).

Priority will be given to official municipal functions and other authorized governmental functions. Any private organizational use may be pre-empted in the event the facility is needed for a municipal function.

Church services and sectarian promotional efforts are prohibited.

Fees must be paid at the Satellite Beach Recreation Department by the designated date. Refunds can be issued if the Satellite Beach Recreation Department is notified at least 30 days prior to the reserved date.

Smoking is prohibited inside City facilities. Alcoholic beverages can be consumed, however the selling of alcoholic beverages is strictly prohibited.

The reserving group/individual shall not deface or damage the reserved City facility. If during their reserved time the facility is damaged, the reserving group/individual will be required to pay the City such sums deemed necessary to repair the premise.

The reserving group/individual must strictly adhere to the reservation times agreed to within this rental agreement. It is the responsibility of the rentor to allow adequate time within their reserved time for set-up, event and clean-up. Any requests for changes in reservation times but be pre-arranged with the Recreation Department and noted in writing as an addendum to this rental agreement. Payments for additional time must be received within two weeks from the time the change was requested.

When appropriate, the reserving group/individual agrees to obtain the necessary information and forms from the Brevard County Consumer Health Department and comply with all temporary food service guidelines.

The individual or authorized individual of the reserving group shall sign a separate affidavit which holds harmless the City of Satellite Beach and the Brevard County Board of County Commissioners and their official officers from liability or responsibility for damages, injuries, or deaths associated the reserving group’s/individual’s use of City facilities. This individual must be at least 21 years old.

The authorized representative who signs the rental agreement forms acknowledges receiving a copy of the rental agreement guidelines.

Authorized individual Date Authorized employee from City of S.B. Date

THESE FORMS ARE ONLY SAMPLES OF WHAT YOU WILL SIGN.  WE CANNOT ACCEPT THESE COMPLETED - YOU MUST SIGN THE FORMS GENERATED BY OUR COMPUTER AT TIME OF PAYMENT!!!

STATE OF FLORIDA

COUNTY OF BREVARD

BEFORE ME, the undersigned authority, personally appeared and acknowledged reading the following Affidavit:

1. That he/she is the individual rentor or is the individual from the reserving group, designated and authorized by said reserving group, to execute said Affidavit
2. That by executing this Affidavit, the authorized individual agrees to indemnify and hold harmless the City of Satellite Beach and the Brevard County Board of County Commissioners and its elected and appointed officials, agents and employees, their sureties, insurers, successors, assigns and legal representatives from any and all liabilities, claims, causes of action, demands and damages for injury, death or damages of any kind or nature whatsoever to any person incurred, caused or associated with the use and/or occupancy of the applicable facilities by the use, including attorney’s fees, unless such injury, death or damages were the direct result of a negligent act or omission on the part of the City.
3. That he/she acknowledges that the execution of this Affidavit is in consideration of, and a material inducement to, the City allowing the user to utilize and/or occupy City facilities.

STATE OF FLORIDA

COUNTY OF BREVARD

The foregoing Affidavit was acknowledged before me this ________________, _______ by ___________________________who is personally known to me or who has produced ______________________________ as identification.

Affiant’s Signature______________________________________________________________

_____________________________________________________________________________

Print Affiant’s name, address, city, state, zip, daytime phone

WITNESS my hand and official seal in the County and State last aforesaid this ______day of _______________, ________.

______________________________________________________________________________

Notary Public

Revised 6/02

Alcohol: Alcoholic beverages may be consumed by individuals 21 years & older. The selling of alcohol is strictly prohibited unless you have a license to sell alcohol.

Cleanup: There are 4 major things that MUST be completed before exiting the facility. (1) Take out all trash to the dumpster in the parking lot behind the facility. (2) Put all tables & chairs away. (3) Sweep/mop/vacuum up any obvious debris (spilled drink, food, etc). (4) Make sure all your items are removed from the facility (check refrig). Cleanup MUST be completed within your contracted rental time in order to receive your damage deposit.

• If you see any damages to the DRS Community Center upon your initial entry, be sure to call the S.B. Recreation Department, 773-6458, and report the damages. The office has a 24 hour answering machine and the day/time you call will be noted. It is assumed that any damages not reported upon your initial entry occurred as a result of your rental, and you will be charged accordingly.
• If the damage is of the type that requires immediate attention (such as a broken window, overflowing toilet, no electric, etc.) you must also contact the S.B. Police Department, 773-4400, and request that a City employee be dispatched to quickly correct the damage. A City employee will not always be dispatched, it depends upon the extent of the damage and the degree to which the damage affects your event.

Take all trash to the dumpster___________

Clean up spills & sweep floors if necessary____________

Wipe all tables & kitchen counters with a damp cloth______

Remove all decorations________

Return all chairs & tables to storage areas________

Clean out refrigerator & remove your food items__________

Check & clean bathrooms if necessary_________

Turn off all lights & fans____________

Lock ALL doors__________

Set air conditioner at 78 ____________

Return keys & this form to the Recreation Dept. the next business day_______

Please report any discrepancies you may have noticed: ___________________________________________________________________________

(i.e., repairs needed, item replaced etc.)

CITY OF SATELLITE BEACH FACILITY

RENTAL QUESTIONAIRE

Reservation by:________________________________Reservation date:_____________

Room or building reserved__________________________________________________

Please complete the following questionnaire & return it to the Satellite Beach Recreation Department,1089 South Patrick Dr., Satellite Beach, FL 32937. An addressed & stamped envelope is enclosed for your convenience.

1. Was our Recreation Staff courteous and helpful when making initial reservation?________
2. Were you informed of the rules and requirements on use of the facility?_______
3. Was sufficient information provided to you regarding the operation of the facility?__________________(ie. lights, cleaning equipment, etc.)
4. Were keys available to you when needed?_____________________
5. Was the time you were given to enter & leave the facility made clear to you?_______
6. Were you allowed ample time for set-up?_________Clean-up?___________
7. Did you have any problems unlocking or locking doors?__________
8. Were the restrooms clean & stocked with ample toilet paper?____________
9. Was the kitchen clean?___________Were extra trash bags available?___________

Was cleaning equipment adequate?____________

10. Were enough tables/chairs available?____________
11. Were other items available to you?____________(ie. podium, microphone etc.)
12. Were all lights, outlets & equipment in working order?_________
13. Do you feel the rental fee was fair for the size facility provided?_______
14. Are there any suggestions or concerns not mentioned above? ______________________________________________________________________________________________________________________________________________________