OAKS NORTH COMMUNITY CENTER, INC.

                                                       12578 OAKS NORTH DRIVE

                                                  SAN DIEGO, CALIFORNIA - 92128

                                               (858) 487-0120 § FAX (858) 487-5328

 

                          OAKS NORTH COMMUNITY CENTER AUDITORIUM USE FORM

 

The Oaks North Community Center, Inc., hereby agrees to make the auditorium facility as described below available to the following provided the member, group or organization is in compliance with the Oaks North Community Center, Inc. Policies and Rules Governing Use of the Auditorium:

 

NAME:_____________________________________________________________________________

IF ORGANIZATION - INDIVIDUAL IN CHARGE:_____________________________________

BILLING ADDRESS:_________________________________________________________  ____________________________________________________________________________________

TELEPHONE NUMBER:__________________________________________

DATE OF ACTIVITY:_____________________________________________

TYPE OF ACTIVITY:_____________________________________________

SET-UP TIME:___________________   ACTUAL ACTIVITY START TIME:___________________

ENDING TIME:___________________  ESTIMATED ATTENDANCE:______________________

INSURANCE (IF APPLICABLE):_______________________________________________________________

  NAME OF COMPANY

 

CHARGES: $__________________PER SESSION

                    $__________________ ADDITIONAL FEE @ $17.50 PER HALF HOUR FOR USE
                                                           OF PREMISES AFTER 10:15 P.M

                   $_______________

 

$______________________       TOTAL CHARGES

 

 

*Kitchen includes kitchen facilities (stove, refrigerator, microwave, etc.), coffee pots, ice buckets, scoops, punch bowls, pitchers and trays.

 

 

 

 

 

BY MY SIGNATURE BELOW, I SIGNIFY THAT I HAVE RECEIVED COPIES OF THE RULES AND POLICIES GOVERNING USE OF THE AUDITORIUM AND THAT I/WE AGREE TO ABIDE BY THE RULES AND POLICIES.

 

Dated:_________________________________________

                                                                                   

 

 

_______________________________________________

SIGNATURE

 

_______________________________________________

PRINT NAME

 

ORGANIZATION NAME:

 

_____________________________________________________________________________________