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2. North Creek Schoolhouse Rental Application
   Thank you for your interest in renting the North Creek Schoolhouse! Once we receive your rental application, we will contact you to confirm your date/time and process payment. | Please note: full payment and deposit are due at time of booking - we will not hold a date without receiving payment. | Reservations not made at least 30 days in advance are subject to staff availability. | Applicants must be at least 21 years of age in order to rent the North Creek Schoolhouse. | Questions? Call Parks & Recreation at (425) 806-6760.
3. North Creek Schoolhouse Rental Packet
   North Creek Schoolhouse Rental Packet

   Before submitting your application, please be sure you read through the policies and procedures concerning rentals in our North Creek Schoolhouse Rental Packet.
4. 
6. Primary Contact Person*
7. Organization (if applicable)
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email*
18. Secondary Contact Person
20. Phone Number
21. Email Address
25. North Creek Schoolhouse Fees 2019
    HOURLY FEE (min. 1 hour): Residents & Non-Profit Orgs. $30/Non-Residents & For-Profit Orgs. $38 | DAMAGE DEPOSIT: $100 (refundable)
27. Event Date*
28. Start Time*
29. End Time*
30. Guests Arrival Time?*
32. For ongoing events, please describe and list start/end dates:
34. Type of Event? (meeting, birthday, wedding, etc.)*
35. Expected Attendance? (max 35, including children)*
37. Is your event open to the public?*

    1. Yes
    2. No

    (If yes, liability insurance is required)
38. Are you advertising to the public?*

    1. Yes
    2. No

    (If yes, liability insurance is required)
39. Will you be charging admission?*

    1. Yes
    2. No

    (If yes, liability insurance is required)
41. Liability Insurance
    TULIP Event Insurance

    Insurance may be purchased through your own insurance provider, or through the City's broker at the above link. (North Creek Schoolhouse venue I.D.: 0465-595)
43. Are you hiring a third party vendor for your event? (caterer/bartender, DJ, entertainer, etc.)*

    1. Yes
    2. No
44. If yes, please provide the names of all vendors:
46. Third Party Vendors
    It is your responsibility to make all vendors aware of rental policies. | Caterers: absolutely NO sterno candles/open flames permitted (birthday candles ok).
48. Will there be music at your event?*

    1. Yes
    2. No
49. If yes, how will the music be provided?

    1. DJ
    2. Live Music
    3. Other
51. Amplified Sound
    It is unlawful to operate a powered public address system or amplified music speaker system or other means of amplified sound in any park areas without a written permit by the parks and recreation director or his or her designee. Battery operated portable radios and tape players are permitted; provided they shall not be operated at a volume or in any manner which unreasonably disturbs the peace of others and cannot be heard 75 feet from the source. (Bothell Municipal Code 8.60.370)
53. Describe decorations for your event:*
55. Decoration Policies
    Decorations may be attached to the walls with reusable “poster putty” adhesive or blue painters tape only. No tacks, staples, other tape, or Command hooks allowed. Affixing anything to ceilings, lights, or windows/window frames is prohibited. No confetti/party poppers or candles allowed (birthday candles ok).
57. Are you renting equipment?*

    1. Yes
    2. No
58. If yes, list items being rented:
60. Rental company name & contact number:
62. Equipment Rentals
    Parks & Recreation staff cannot sign for or accept any deliveries or equipment rentals. All deliveries and equipment setup must take place within your scheduled rental time.
64. Schoolhouse equipment to be used:

    1. 5-ft rectangle tables (6)
    2. Folding chairs (35)
    3. Chalkboards
66. Schoolhouse Equipment Setup
    Renter is responsible for all setup/teardown of tables, chairs, and other equipment during their scheduled time.
68. Are you interested in reserving the Centennial Park picnic shelter for your event?*

    1. Yes
    2. No
69. Start time:
70. End time:
72. If yes, describe event/setup for picnic shelter (# people, sound, etc.):
74. Centennial Park Picnic Shelter
    With a max capacity of 25 people and two built-in charcoal grills, the picnic shelter provides a great space to serve food, eat, stage games/activities, and more. | Half day (5 hrs): R $100/NR $125, Full day (12 hrs): R $240/NR $300
78. WAIVER OF LIABILITY
    The undersigned hereby requests, of the City of Bothell Parks & Recreation, use of the facilities described on the park reservation form and certifies that the information in its request is correct. The undersigned agrees to exercise the utmost care in the use of these facilities and property and by signing below applicant hereby agrees to indemnify, defend and hold harmless the City, its elected and appointed officials and employees while acting within the scope of their duties, from any and all claims, demands and causes of action of any kind or character, foreseen or unforeseen, for damages including but not limited to personal injury, death or property damage as well as the cost of defense costs, court costs, witness and attorneys' fees, in any way arising out of the granting of this permit or arising out of the applicant's use of the public area or other premises permitted by this permit, except for damages arising out of the City's sole negligence. Applicant expressly waives his/her immunity under title 51 of the Revised Code of Washington, the Industrial Insurance Act, for injuries to his/her employees and agrees that the obligation to indemnify, defend and hold harmless provided for in this paragraph extends to any claim brought by or on behalf of any employee of the applicant. I have read the above rules and regulations for City of Bothell Parks & Recreation and agree to abide by them. | There is no legal or binding commitment between the Renter and the City of Bothell until after the Rental Contract is signed by both parties and rental fees have been paid in full.
80. I have read and agreed to above Waiver of Liability*

    1. Yes
82. LYTLE HOUSE RESERVATION CHECKLIST*

    1. I certify that I am at least 21 years of age in order to submit this application and rent the Schoolhouse.
    2. I have read the North Creek Schoolhouse Rental Packet & agree to abide by all policies.
    3. I understand that as the rental applicant, I must be on-site for the duration of the rental or designate a responsible person, & I am responsible for any & all damage deposits, permits, & insurance.
    4. I am aware I must not exceed the rental end time indicated on my rental contract, & I agree to vacate the building at the time indicated on this application.
    5. I understand that I am responsible for all setup/cleanup, & that it must take place within my scheduled time.
    6. I am aware that the City of Bothell is unable to provide storage or accept deliveries for this event.
    7. I understand that I am not able to serve alcohol at the Schoolhouse.
    8. I understand that all City of Bothell Parks are tobacco-free (includes cigarettes, cigars and chewing tobacco).
    9. I am aware that I am responsible for the behavior of all guests in attendance, and that any children in attendance must be supervised at all times.
    10. I understand that all requests are on a first-come, first-serve basis & no date will be held until a North Creek Schoolhouse Rental Application is completed and submitted, & fees have been collected.
    11. I have read and agree to the North Creek Schoolhouse Cancellation & Refund Policy.
84. NORTH CREEK SCHOOLHOUSE CANCELLATION & REFUND POLICY
    More than 30 days' notice of cancellation: Full refund | 15 to 30 days' notice of cancellation: 50% of fee (unless re-rented) | Less than 15 days' notice of cancellation: No refund (unless re-rented) | 100% refund if reservation is cancelled by City
86. Please type your name/signature:*
87. Date*
    Date
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89. 1. Receive an email copy of this form.
90. Email address

    This field is not part of the form submission.

91. Submit

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