Troop Meeting Request Form (Facility Reservation)

Applicant Information

Troop #: *

Service Unit: *

Name of event: *

Anticipated Attendance: *

# of Girl Scouts: *

# of Registered Adults: *

Person in Charge of Activity: *

Day Phone: *

Cell Phone:

Home Address (Street): *

City: *

State: *

Zip Code: *

Email Address: *

Confirm Email Address: *

Assistant in Charge of Activity: *

Day Phone: *

Cell Phone:

Email Address: *

Confirm Email Address: *

Meeting Request

Start Time: *

AM

PM

End Time: *

AM

PM

Once a Month Request (example: 3rd Tuesday of every month = check box for Tuesday: 3rd)

Monday:

1st

2nd

3rd

4th

Tuesday:

1st

2nd

3rd

4th

Wednesday:

1st

2nd

3rd

4th

Thursday:

1st

2nd

3rd

4th

Friday:

1st

2nd

3rd

4th

Multiple Meeting Request (example: 1st & 3rd Mondays for the months of September-May)

Every:

&

(week of the month)

Day:

For the months of:

Properties

For each site, please mark all facilities desired. Capacities are noted.

A Girl's Place

Solano Room - 90

Napa Room - 77

Hayward Cabin

Building - 30

Rainbow's End

House - 50

Theatre Pavilion - 50

Crafts Pavilion - 50

Keys For continuous rental you will be issued a key for the period of your reservation. Please return key within five days of your last troop/group meeting to:

Girl Scouts of Northern California

Attention Property Registrar

1310 S. Bascom Avenue

San Jose, CA 95128

Electronic Signature: By typing my name on this form, I am entering my "electronic signature" (as defined in the Uniform Electronic Transactions Act, C.R.S. 24-71.3-101 ff) and certifying that I have read, fully understand and accept all terms of this agreement. *

Date: * +

Troop/Group Meeting Usage Contract

Date From: * +

To: * +

Today's Date: * +

Troop/Group #: *

SU#: *

This agreement is by and between the Girl Scouts of Northern California (GSNorCal) and

Troop #: *

in

Service Unit #: *

for the rental of

Site: *

The Rental Group agrees to rent the site on the terms set forth in this agreement.

1. Event Description: The Rental Group certifies that the Rental Group will us the site listed above for their troop/group meeting.

2. Number Attending: The maximum number of people to attend this event is

Girls: *

Adults: *

3. Rental Period: The rental is for the period of

* +

to

* +

on the following

Days of the month: *

4. Rental Fees: Rental fees are waived for troops that complete an approved site service project. Service projects must be

approved by the Senior Director of Property and/or the Property Site Manager. Troops that choose not to participate in the

service project will be charged a maintenance fee.

5. Cancellations: Troops must notify the Property Reservations department if they will not be using the site for any of the time

periods listed above.

6. Cleaning and Damage: The Rental Group is responsible for cleaning the entire site (unit). Any and all expenses incurred by

GSNorCal as the result of the rental group’s use of the site including breakage of dishes or other damage to the site or

property will be billed to the Rental Group and shall be due and payable immediately. GSNorCal is not responsible for any

belongings or items stored, left, or damaged at the site.

7. Publicity: In all publicity, programs or announcements of any kind, the Rental Group agrees not to publicize the event as

sponsored by GSNorCal, unless prior arrangements have been made. GSNorCal reserves the right to review any publicity to

be used in connection with the use of any GSNorCal properties.

8. Supplies and equipment: The Rental Group is responsible for supplying all food and activity supplies. GSNorCal assumes no

responsibility for rental items from outside rental agencies.

9. Responsible Party: The designated on‐site Rental Group leader is responsible for the supervision of the group and the

behavior of all participants. The Rental Group may not engage in activities and/or behaviors that, in the judgment of

GSNorCal, may damage the public image of the Girl Scouts (e.g. public nudity on the site, use of pornographic materials is

prohibited). Questions about the appropriateness of activities should be referred to the Property Manager at the GSNorCal

office.

10. Specialized Activities: Supervision of specialized activities is the responsibility of the Rental Group, unless noted in this

agreement.

11. Health Care: The Rental Group is responsible for the provision of health care, first aid, and emergency transportation if

needed for their participants.

12. Compliance with Girl Scout and Other Regulations: The Rental Group will comply with all applicable laws, local safety and

fire regulations, and Girl Scout regulations, including (i.e. NO pets, alcohol, drugs, fire arms, etc.)The capacity of the site is

set by California law and shall not be exceeded. The designated on‐site Rental Group leader is responsible for ensuring that

all participants are oriented to the safety rules as they apply to the site.

13. Entire Agreement: This Rental Agreement is the entire agreement between the Rental Group and GSNorCal for the

designated rental and supersedes all prior agreements.

Rental Group

Troop Number: *

Name: *

Title: *

Date: * +

Address: *

Cell Phone:

Email Address: *

Confirm: *

Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement. *

Emergency Contact (not on site)

Troop Number: *

Name: *

Address: *

Cell Phone:

Email Address: *

Confirm: *

Designated on-site Rental Group Leader: *

Address: *

Cell Phone:

Email Address: *

Confirm: *

Published April 14th, 2014

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.