Form Center

Rental Application for Indoor Recreation Facilities

2. 
3. Today's Date*
   Enter date: month, date, year (2/2/4)
4. AGREEMENT made and entered into on this date at Atlantic Beach, Duval County, Florida, by and between the CITY OF ATLANTIC BEACH, a florida municipal corporation, 800 Seminole Road, Atlantic Beach, FLorida 32233 (hereinafter "City") and
6. Name of RENTER*
   First and Last Name
8. Name of Organization (If Applicable)
   If Tax Exempt, form and payment must match Tax Exemption ID
10. RENTER'S Address*
12. City, State & ZIP*
14. Cell Phone Number*
    Area Code Required with - between numbers
15. Daytime Phone Number
    If different from Cell Phone
16. Email*
18. WHEREAS, Renter desires to use the facility listed below on a one-time basis *
    -- Select One --ADELE GRAGE CENTER-Ocean Blvd.GAIL BAKER CENTER-George St.JORDAN CENTER-Francis Ave.
20. For the Purpose of:
21. Estimated number of Attendance:*
    -- Select One --1-201-351-501-75over 75
23. WHEREAS, the parties are in complete agreement regarding the terms set forth herein.
    NOW THEREFORE, in consideration of the covenants and promises as set forth herein, and any rental payment made hereunder, and other valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, it is AGREED AS FOLLOWS:
25. Date & Time of Rental: This Agreement shall be effective on the following date*
    Date & Time of Rental: This Agreement shall be effective on the following date
26. From the hours of *
    From the hours of Start Time

    —

    From the hours of End Time
    Which includes set-up before and CLEAN-UP AFTER event.
28. Payment:*

    1. I AGREE TO THE FOLLOWING:

    Payment must be made in FULL at time of reservation. Renter or applicant (see below), in exchange for use of the facility, shall pay the fees (cash, check or credit card) indicated for event use. Facility is not reserved until completed application and full payment are received. DELIVERY OF FACILITY: The City shall deliver the facility to Renter in good working condition, with any necessary facilities and utilities, and in a clean condition. RENTER SHALL RETURN THE FACILITY IN THE SAME MANNER ON THE SAME DAY OF RENTAL, WHICH INCLUDES SWEEPING, MOPPING, WIPING TABLES AND COUNTER TOPS, placing trash in bags and leaving in a container outside the building. Tables and chairs are available but the renter is responsible for set-up, break-down, and storage of tables and chairs at end of the event. CONTROL OF BUILDING: In renting said facility to Renter, the City does not relinquish the right to control the management and operation of the facility, and the City Manager or his designee may enter the facility at any time and on any occasion.
30. KEY RELEASE: In the event renter is unable to pick up the key badge, I hereby authorize the City to release the security key badge to: (though renter is responsible for rental of building and all stated within this contract).
    ASSIGNMENT: Renter shall not assign the agreement nor suffer any use of the facility other than herein specified, nor sublet the facility or any part thereof, without the written consent of the City.
32. MUSIC: All music must be played INSIDE the building and not cause disturbance to neighbors. No loud music and/or obscene language is allowed and may casue event to be shut down by ABPD, no refunds.
    ALCOHOL: Renter must have prior approval to serve or consume alcohol at an event (Adele Grage Center only). CITY ORDINANCE ALLOWS BEER AND/OR WINE ONLY. An off-duty Atlantic Beach police officer must be provided by rent for duration of event (application provided from Recreation Dept.) All alcohol must be served and consumed INSIDE THE BUILDING. All alcoholic beverages are prohibited in the City parks or on the beach. Failure to follow this policy will result in forfeiture of deposit and may result in early termination of event.
34. Renter agrees not to sell, publicize or discuss any products or services offered by self, or any organization, or to engage in fundraising activies on the community center or park premises.

    1. DEPOSIT: will be refunded to the renter upon approval of facilities after event. The City will issue a check by mail, 10-15 business days after event, to the Applicant listed below.
    2. CANCELLATION: If for any reason, a reservation is cancelled less than seven calendar days of the scheduled event, in writing, the renter will forfeit the $200 deposit and user fee.
    3. If reservation is cancelled more than 7 days before the event, depost and fee will be refunded, less $25 application fee. Rental cancellation is required in writing or via email.

    RENTER SHALL CHARGE NO FEE, TICKET OR OTHER TYPE OF COMPENSATION FOR EVENTS.
36. By signing this contract the RENTER has read and agrees to accept all responsibility outlined and implied, to comply with the Ordinances and Codes of the City of Atlantic Beach, the Special Event Guidelines and Policies, and all requirements stipulated within this contract.*

    This serves as an electronic signature and acknowledgement of above Disclaimers and Agreements.

38. Upload Driver's License Here*

    Applicant must be 21 years of age, (proof of Driver's License Required) 

39. Upload Tax Exempt Certificate

    If Applicable; payment without tax must have Florida Certificate

41. Date Signed*
    Date Signed
43. APPLICANT:

    APPLICANT is the person paying for rental/deposit fees. Applicant understands the refundable deposit will be mailed 10-15 business after the event if the above terms are met by the renter. Applicant understands that if the renter does not satisfy/meet the forms of the agreement, the deposit will not be returned.

45. Applicant's First Name*
    Applicant is person paying deposit
46. Applicant's Last Name
48. Applicant's Address*
    This is where deposit is mailed to (if above terms are met).
50. City*
51. State*
52. Zip*
54. FEES

    1. Baker or Jordan Center without alcohol Rental Fee $100 for 4 hour minimum & $25 for each additional hour
    2. Adele Grage Center without alcohol Mon - Thurs. fee of $50 per hour
    3. Adele Grage Center without alcohol Fri-Sun. fee of $100 per hour
    4. Adele Grage Center with alcohol (beer and wine only) fee $100 per hour ( requires an AB off-duty officer for an additional $40 per hour (minimum 4 hours)
    5. $200 refundable deposit
    6. $20 charge for lost or not returned security card within two days of event (will be deducted from deposit)
    7. 7.5% Sales tax (Florida tax exemption accepted)
56. Number of hours reserved*
    -- Select One --1-4 hoursAdditional hours, indicated below
57. Additional/other number of hours reserved
59. Rental Fees: ___________ Tax: _________ Deposit: $_________ Total Amount Due: $______________
    For Office Use Only: Paid $ ___________ Receipt # _____________ FOP: Ck # ______ Cash ______ CC _____ Account # _______
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field