reception room rental application and agreement

                                                               HISTORIC SHEPHERDSTOWN COMMISSION

ENTLER HOTEL RENTAL APPLICATION AND AGREEMENT
129 E. GERMAN STREET – ROOM 200
PO BOX 1786 SHEPHERDSTOWN, WV 25443 304-876-0910
HSC86@CITLINK.NET  WWW.HISTORICSHEPHERDSTOWN.COM

I/We, the undersigned, hereby make application to rent the following areas of the Entler Hotel under the conditions herein:

Name of Applicant: ____________________________________________________________

Name of Organization: _________________________________________________________

                                      If non-profit - 501c(3) # _____________________   copy of letter ____

Mailing Address: ______________________________________________________________
                               Street/PO Box                             City                             State                  Zip

Contact Phone Number: Home ________________  Work: ___________________ Cell: __________

Purpose of Rental: Wedding/Reception ________ - Art Show ________ - Other _________________
                                                                                                                               Please explain
Areas Rented: Bedinger Room  ____________          Kitchen ____________

                          Kitchen              ____________
                          Garden & Porches (required for parties with Kegs) __________

Date(s) Needed: _______________, ____    Hours Needed: ________________________________
                                                                          Not before 12 pm on Sundays ________

Fees: Security Deposit -   $ _______________                       Please Make Checks Payable to:
           Rental Fee               $ _______________  

           Cleaning Fee           $ _______________                    Historic Shepherdstown Commission
            Total Due                 $ _______________

In making this application, I/We hereby understand that rental and use of the areas checked above are subject to the rental policies, rules and regulations of Historic Shepherdstown Commission as the same are set forth in the Commission’s Regulations, attached hereto, the receipt of which is hereby acknowledged.  I/We agree to abide by such policies, rules and regulations and agree to enforce the same in the rented areas during the rental period.  If I/We fail to abide by any policy, rule and or regulation, I/We agree to be responsible to the Historic Shepherdstown Commission for any and all damages and costs the Commission may incur as a result of such violations.

I/We further indemnify and save harmless the Historic Shepherdstown Commission, it’s Officers, agents and employee’s, from any and all liability for damages arising out of the rental, occupancy and use of the property herein rented under this application and agreement.  I/We further release The Historic Shepherdstown Commission its Officer’s, agents, and employees from any and all damages, causes of action, or other liability in any way relating to the rental, use and occupancy of the property herein leased under this application and agreement.  I/We certify that the indemnification and release herein made extend to claims which may be asserted by the applicant, or by any third party visiting the rented premises during the applicant’s possession of the rental property.  I/We further certify that I/We have been advised to purchase limited occasion liability insurance to protect myself/ourselves from any claims which may result from applicant’s use of these premises.
 
I/We have carefully read all policies, rules and regulations and signed all appropriate forms and have informed all those connected with our function as to those policies, rules and regulations.
 

______________________________________          ______________________________________
Applicants Signature                                                    Date

____________________________________            ______________________________________     
Historic Shepherdstown Administrator                       Date