MT. KEMBLE LAKE ASSOCIATION, INC.

PART I - APPLICATION FOR CLUBHOUSE RENTAL

 

All clubhouse rentals by Members of the Association for private events are subject to Article XII of the Association By-Laws, as well as the attached Guidelines.

 

Member applicant is responsible for determining that the proposed date is available (see Guidelines).

Member applicant must submit the following to the Association Treasurer with a copy to the Association Clubhouse Chair at least 60 days in advance of the event in order to reserve the proposed date.

 

A.   COMPLETED APPLICATION � PART I

B.   RENTAL FEE (see #7 Below for Fees), and $500 SECURITY DEPOSIT (Make separate checks payable to "Mt. Kemble Lake Association, Inc." and for the current rate clean up fee (Make check payable to �Dublin Maintenance Contractors�

C.   PROOF OF LIABILITY INSURANCE (see Guidelines).

 

NOTE: No date is considered confirmed until ALL paper work has been submitted.

�

1. Name of Member Applicant: _____________________________

 

2. Date of proposed rental: ________________________

 

3. Starting and approximate ending times of event: Start:___________ End__________

 

4. Purpose of proposed rental: _____________________________________________

 

5. Person/s who are the focus: _____________________________________________

 

6. Relationship of the person/s named above to the Member Applicant, e.g., spouse, parents, granddaughter, child.

��������������������������� �������� _______________________________________________

7. Expected number of guests (circle one) - not to exceed 125:

 

������ 1 to 35 ($150)1 �������� 36 - 75 ($300)1 ������� 75- 125 ($500)

 

1Use of Dublin Maintenance (Dublin) is optional for parties of 1 � 75 persons if the member prefers to do the clean-up. For parties of 76-125, Dublin must be used.

 

*���� *���� *���� *���� *���� *���� *

 

I agree to comply with the Association By-laws and the attached guidelines in connection with this rental. Furthermore, I agree to supervise all activities of this event including set-up.

 

I also agree to pay for any required services of Dublin Maintenance to clean the facilities per agreed specifications between Dublin and The Mt. Kemble Lake Association Board. If the clean up includes non-specified services, the Member who is renting the clubhouse will be responsible to pay any additional charges and those charges will be deducted from the security deposit.

 

Signature: ______________________________ Date:_________________

 

PART II - APPLICATION (attached) must be submitted to the Treasurer and copy to the Clubhouse Chair at least 30 days in advance of the approved date in order for that date to be considered confirmed.

 

Approved 2/8/2010 by Board of Trustees, Mt. Kemble Lake Association