Community Room Digital Rental Form Name * First Name Last Name Email Address * Phone * (###) ### #### Rental Information Please be advised that the community room has been rented pursuant to the attached rule/regulations, and information submitted by the renting Shareholder. Upon completion of this event, the renting Shareholder will physically examine the premises to ensure that all has been cleaned properly and no damage has occurred. Both Rental Fee and Security Deposit Checks must by issued by the Shareholder. Your electronic signature below signifies you have read the above statement and understand the responsibility. Rental Date * Type of Event Adult Child Time of event start and stop * Purpose of Rental * Approximate # of guests * Print Name * Signature * Your electronic signature below signifies you have read the above statement and agree. Print Name Signature Your electronic signature below signifies you have read the above statement and agree. Todays Date * MM DD YYYY Completed by Community Room Liason * Rental Fee ($150/ check number) Completed by Community Room Liason * Security Deposit ($100/ check number) Liaison's Acknowledgment Signature * Thank you!