Community Center Rental Agreement

Complete online or print and fill out by hand.

Lenox Community Center
200 S. Main
Lenox, Iowa 50851
Ph. 641-333-2228

Community Center Rental Agreement

This rental agreement is between the City of Lenox (City) and the Renter of the facilities located at 210 E. Dallas Street, Lenox, IA 50851.

Renter Information

Name

Address

Phone

Cell

E-mail

Renter must be 18 years of age and agrees to abide by the charges, conditions, and requirements set forth in the information and rate fees. Renter understands that any deposits are forfeited if the renter does not cancel the reservation within 30 days of the date rented, or if damages or cleanup is not conducted as per the conditions described. Renter further understands that any damages in excess of the damage deposit fee are the Renter's responsibility.

Event Information

Type of Event

Beginning

Date

Time

Ending

Date

Time

Space Reserved

Entire Facility Small Meeting Room (only available Monday through Friday)

If booking Friday after 12 p.m. through Sunday, you must book the entire facility. Small room only booking is not available during these hours.

Alcohol Served

Yes No

Note: If alcohol is made available on the premises without the serving area open, the full deposit will be forfeited.

Deposit

A deposit is due at the time of booking. A cancellation of the reservation by the Renter must be made a minimum of 30 days in advance of the date of the reservation in order to receive a refund of the deposit. Any reservation cancelled after the 30 days will forfeit the entire deposit amount.

Deposits will be returned within two (2) weeks after the event if the facilities are left in at least as good condition as the renter found them and the key has been returned.

This deposit is collected in addition to the rental fees. The Renter will provide two separate checks: one for the deposit due at booking, and one for rent due before the event.

Deposit Paid ($)

Date

Clean Up Requirements

Tables, chairs, and equipment must be cleared, wiped clean, and returned to the original location
Anything used in the kitchen must be cleaned and returned to its storage place. Towels and dish cloths are not provided
All decorations must be removed
Bathrooms must be cleaned including sinks, stools, and floors. Stools should be cleaned with the bowl cleaner and brush that are provided
Floors must be swept and scrubbed as needed to leave the facility in the same or better condition
Trash cans (including restrooms) emptied and trash must be taken to the dumpster — new liners should be placed in each trash can
All lights must be turned off when you leave
Key must be returned to City Hall

Rent

Total Rent Paid to the City ($)

Make checks payable to City of Lenox.

Continued on next page — signatures and City use only

Lenox Community Center
200 S. Main
Lenox, Iowa 50851
Ph. 641-333-2228

Signatures

Renter's Signature If printing to sign by hand, you may leave this field blank.

Date

City's Signature

Completed by City Hall staff.

Date

City Use Only

Inspected & Key Returned ______________________________

Deposit Refunded ______________________________ Date ______________

Comments

Completed by City Hall staff upon review.

This form is not submitted online. Please print and bring the completed agreement, along with your deposit and rent checks, to Lenox City Hall at 200 South Main Street, Lenox, Iowa 50851.