Leroy Township Community Room Rental Agreement
Date: _____________________________
Person Responsible for Rental: ________________________________________________________________
Address: __________________________________________________________________________________
Driver’s License #:__________________________ Current Telephone #:______________________________
Leroy Township Property Owner? Yes/No
Leroy Township Resident Yes/No
Purpose of Rental: _________________________________________________________________________
Organization Involved: ______________________________________________________________________
Date to be used: ______________________________ Time (begin/end):______________________________
Do you need to set-up building before rental? If so, at what time? ____________________________________
Rental Fee: __________________________ Security Deposit: __________________
Checks should be made payable to Leroy Township. Rental Payment and Security Deposit are due 2 weeks
prior to rental. Doors will be unlocked by caretaker. At the end of the rental, the caretaker will be called to
inspect the building and if found to be acceptable will inform the office to return the security deposit.
The renter agrees:
1. The hall is not rented to minors. The person signing the rental agreement must be present during
rental hours.
2. No alcoholic beverages are to be brought or consumed on the premises.
3. No smoking in township buildings or on property.
4. No beverages containing red dye are to be used in the building.
5. To use only the community room, kitchen facilities and restrooms. The stove is to be used for
warming food only. Do not cook meals in kitchen.
6. No pig roasts allowed on township property.
7. To accept the premises in its present condition and return it in the like condition. Absolutely no
township property is to be removed.
8. To reimburse Leroy Township for any damages to premises, building or equipment.
9. To clean the premises after rental by wiping off countertops, tables, and chairs; vacuuming floors;
cleaning up spills; placing trash in garbage bags and putting them in the receptacle behind the building;
and to return all township property to designated storage spaces.
10. No long distance telephone calls are permitted.
11. Outside doors are not to be left open.
12. Not to attach posters or signs to the premises. No decorations are permitted on the ceiling.
13. To vacate property at scheduled time – all rentals must end by 11:00 p.m.
14. Contact the office or caretaker if cancellation is necessary.
15. The undersigned applicant agrees to indemnify Leroy Township and its members or agents against all
liability to persons or property on the premises.
16. Leroy Township is not responsible for loss or damage to personal property.
17. Failure to comply with the above conditions will result in forfeiture of future use and/or loss of security
deposit.
_____________________________________________
Signature of applicant
Board approved 9/2013