CITY OF PEARL COMMUNITY CENTER

City of Pearl Community Center

Submission of this form is NOT confirmation of your reservation.
City of Pearl Board Approved 7/7/20

City of Pearl Community Center Rental Agreement

PLEASE READ POLICY & PROCEDURES PRIOR TO SUBMITTING THIS FORM TO THE PCC DIRECTOR.

www.cityofpearl.com - Click "City Facility Rentals" top right corner

By signing below, I agree and understand that confirmation and acceptance of the Application is subject to review by the PCC Director. I have read the Room Rental Policies and Procedures for the use of a room owned and/or operated by the City of Pearl and I will insure that I, or my organization if applicable, am in compliance with the outlined procedures. I and my organization releases, indemnifies and will hold harmless the City of Pearl, their officers, agents and employees, from any and all claims for injuries, damages, or loss which may arise or which may be alleged to have arisen out of or in connection with the scheduled event. I understand that I am responsible for all damages and cleanup resulting from this use of the facility.
By signing below I agree that I have read and agree to all terms in their entirety: *

Clear
Submitted by: *
Type Full Name
Submission Date: *

Month Day Year
Date
Address: *
City: *
State: *
Zip: *
Phone Number: *
Email Address: *
example@example.com
Requested PCC Room(s): *
Requested Reservation Date: *

Month Day Year
Date
Times: *
Type of Event: *
Estimated No. of People: *
Table/Chair Setup Request:
Table/Chair Setup Request cont'd:
Should be Empty:

City of Pearl Community Center