Moore Community and Conference Center – Building Rental Application

Organization Name
Date
Contact Person
Phone Number
Contact Email (required)
Non-profit
YesNo
EIN Number
Room Request
GymTheaterAtriumYMCA CafeteriaFIA CafeteriaRomper RoomKitchenClass Rooms 313-321Class Room 204Class Room 215Class Room 221Class Room 101Class Room 107
Activity Description

Special Equipment Needed

# of Tables
# of Chairs
AV Equpiment

Include setup and cleanup in times

Dates requested
Starting Time
Ending Time
Number of People

Agreement for Use of the Moore Community & Conference Center

Please Note: There will be designated parking slots reserved for senior programs. Please observe these restrictions. Additional off-site parking is available, contact Building Manager for details.

All members and guests of the above named organization or group will observe the policies of the Moore Community Center. Individually and as an organization or group, we will assume full financial responsibility for any and all damages caused to Moore Community Center property and equipment during the period of use. The above named individuals and organizations or group, will indemnify Moore Community Center, Down East Family YMCA and City of Ellsworth against any individuals, organizations or groups. Moore Community Center Down East Family YMCA and City of Ellsworth will be held blameless for loss of any kind in connection therewith. Users approved for use of the Moore Community Center agree that unauthorized use of YMCA or FIA equipment, supplies, classroom materials etc. may result in loss of privilege to use the Moore Community Center in the future. I have read the policies and understand and agree to the terms of use set forth, and I am authorized to sign for the individual, organization or group.
I have read and agreed to the terms above.

The Moore Community and Conference Center is a NON-SMOKING facility and grounds. We ask that all participants please refrain from smoking on the property.
I have read and agreed to the terms above.

Additional Comments