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2. 
3. RECREATION FACILITY RENTAL REQUEST
   Please note: Submittal of this form is not a guarantee that your rental is confirmed. Upon receipt of request, you will be contacted for official confirmation of date requested for your event and to collect payment for your rental.
5. DATE OF EVENT*
   DATE OF EVENT
6. HOURS REQUESTED*
   HOURS REQUESTED Start Time

   —

   HOURS REQUESTED End Time
7. DATE OF APPLICATION*
   DATE OF APPLICATION
9. PLANNED USE FOR FACILITY*
10. EST. # OF PARTICIPANTS*
12. Is insurance/special events permit required?*

    1. YES
    2. NO
13. If yes, has special event permit been approved?

    1. YES
    2. NO
15. APPLICANT NAME*
16. ORGANIZATION/GROUP NAME
18. ADDRESS
20. CITY
21. STATE
22. ZIP
24. PHONE NUMBER*
25. EMAIL *
27. RENTAL FACILITIES (Choose one below):
29. CLEMENTS WOOD PARK
    -- Select One --PAVILION 1 ($45.00)SOFTBALL FIELD ($15.00/HOUR)SOCCER FIELD ($15.00/HOUR)
30. FIELD OF DREAMS
    -- Select One --PAVILION A-Holds 50+ people ($200.00)PAVILION B-Holds 50+ people ($200.00)PAVILION C-Holds 30+ people ($175.00)RENT A SPORTS AREA ($100.00 per hour or $500.00 for whole day)RENT THE WHOLE PARK ($1500.00)LEAGUE PLAY (1 hr a week for 8 weeks per sporting area) ($500.00)CAMP PLAY (1 week (5 weekdays) from 8am - 5pm) ($600.00)
31. WESTBROOKE PARK
    -- Select One --PAVILION 1 ($45.00)
33. WEST MELBOURNE COMMUNITY PARK
    -- Select One --PAVILION 1 ($45.00)PAVILION 2 ($45.00)PAVILION 3 ($45.00)PAVILION 4 ($45.00)PAVILION 5 ($45.00)AMPHITHEATER ($1500.00/DAY)
34. VETERANS MEMORIAL COMPLEX
    -- Select One --VMC CONFERENCE ROOM - Max 30 people ($35.00/3 HOURS, Monday - Thursday 8:30am-9:00pm and Friday 8:30am-12:00pm)FULL FACILITY RENTAL PACKAGE WHOLE DAY ($300.00) Saturdays only 9:00am-MidnightFULL FACILITY RENTAL PACKAGE - 1/2 DAY ($175.00) Friday Evenings 5:00-10:00pm, Saturdays 9:00am-3:00pm or 4:00pm-Midnight, Sundays 3:00pm-10:00pm
38. RENTAL RULES:
    1. Changes made to a rental are subject to a $10.00 change fee.
    2. All rentals are subject to building, field and staff availability.
    3. The following damage deposits shall be charged for any building rentals. In the event of damages to the building or its contents, the renter will be charged the actual cost of the damages:
    * $200.00 damage deposit for major event which uses food and beverages (example: wedding, reception, birthday party, etc.)
    *$50.00 damage deposit for pavilion rentals.
    4. Rental dates may be reserved up to one year in advance.
    5. Requests for rental fee refunds for use of the Veterans Memorial Complex must be submitted in writing at least 4 weeks in advance of the rental date to be considered for a full refund. A $10.00 cancellation fee will be assessed. Any requests for refunds received after 4 weeks and before 2 weeks prior to the rental date may be considered for a 50% refund. Any requests for refunds received 2 weeks or less prior to the rental date may be considered for a 25% refund of the rental rate.
40. By signing below, I acknowledge that I have received the cleaning checklist & the obligations of the above fees (type name below):
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field