Freight Room Rental Usage Form

I read through the Freight Room Policy & Agreement Form *

Yes

Do you have the required Certificate of Insurance for liability coverage naming the DeKalb County Community Foundation as additionally insured? *

Yes, and I will email it
No, but I am working on it
No, and I have questions about it

Organization Name *

Address

Address Line 1

City

State

Zip Code

Contact Person (Name) *

First

Last

Contact Phone Number *

Contact Email *

Event Name *

Event Purpose (Description) *

Estimated Attendance *

Freight Room occupancy is 99 persons.

Date Requested for Room Rental *

Reservation Start Time (Begin set-up time) *

Event Start Time (Official event start time) *

Event End Time (Official event end time) *

Reservation End Time (Completed clean-up time/vacating the building) *

Technology Requested (Please check all that are required) *

Microphone
Wireless internet/internet access
Conference call phone
Projector for presentation
Desktop computer (preferred for presentations using the projector)

If using the Foundation's provided computer for your presentation, please bring a USB flash drive or similar device containing your materials.

Food and Beverages (Select one) *

Provided by organization
Catered/delivered

If catered/delivered, list the name of your caterer name below.

Caterer Name (If applicable)

Please list if catered/delivered is checked above.

Alcoholic Beverages Provided at the Event *

Yes
No

If yes, alcohol CANNOT be sold on premises and must be served by a licensed caterer/bartender.

(SELECT ONE) Room Usage Fee - *Nonprofit and For Profit Rates

*Nonprofit Org - FULL DAY rental (8:00 a.m. - 5:00 p.m.) - $100
For profit Org - FULL DAY rental (8:00 a.m. - 5:00 p.m.) - $200
*Nonprofit Org - 1/2 DAY rental (4 hours between 8:00 a.m. - 5:00 p.m.) - $50
For profit Org - 1/2 DAY rental (4 hours between 8:00 a.m. - 5:00 p.m.) - $100
*Nonprofit Org - 1/4 DAY rental (2 hours between 8:00 a.m. - 5:00 p.m.) - $25
For profit Org - 1/4 DAY rental (2 hours between 8:00 a.m. - 5:00 p.m.) - $50
*Nonprofit Org WEEKEND rental rate - $50 PER HOUR
For profit Org WEEKEND rental rate - $75 PER HOUR

Signature of Responsible Party (First and last name) *

Please read before signing above - It is understood by the User that failure to adhere to the policy guidelines and agreement may be cause for denial of future room usage whether previously scheduled or not. The User understands that the DeKalb County Community Foundation is NOT responsible for any injuries, loss of property or damages that may occur to renters (or parties to which they are responsible) on Foundation property.

Electronic Signature Validation *

Yes

Your name in the field above creates a valid signature. Do you agree to the usage guidelines and agreement for the Freight Room rental?

Questions Comments

If you have questions or additional comments to add, please do so before submitting.

Renting The Freight Room

Freight Room Policy
& Agreement Form

Freight Room - Facility Usage & Fee Agreement Form