Pilgrim Congregational Church Monbleau Hall Rental Request Form

Pilgrim Congregational Church Monbleau Hall Rental Request Form
Applicant's Full Name *

First Name Last Name
APPROVAL

a. The Church Office will review Rental Request Form, and notify Applicant of Monbleau Hall availability for requested date within 7 business days of receipt.

b. Completed Montbleau Hall Rental Request Form will be submitted to PCC minister who will confirm final approval/disapproval via email within 14 business days of receipt of this Request..
Organization Name (if applicable)
If organization, select one:

For profit Not for Profit
Primary E-mail *
Alternate E-mail
example@example.com
Primary Phone *

Area Code Phone Number
Alternate Phone

Area Code Phone Number
Type of function *

Private Public
Will admission be charged? *

Yes No
Event Category (1) *
If Other, please detail below
Event Category (2) *
If Other, please detail below
Other / Additional Event Details *
Expected # Attendees/Guests *
Montbleau Hall max. capacity: 170
Event Date/Proposed Start Time *

Day Month Year Hour Minutes AM/PM Option
Proposed End Time (min rental 2 hrs) *

Day Month Year Hour Minutes AM/PM Option
Total Event Time Frame (Rental Period) includes Set up, Event Start and End Times. Additional rates will apply for occupancy extending beyond agreed upon time.
Applicant's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Applicant's Billing Address (if different)
Caterer's Name (if applicable)
Caterer's Phone #
Caterer's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
*Caterer must be certified as a Serve Safe Protection Manager (SSPM) to prepare, handle or serve food.

Applicant must secure their own SSPM party and provide written verification of certification within 7 days of event.
Select all Facilities / Services Requested

Stage Kitchen* Tables & Chairs (specify quantity below) Presentation/Picture Screen
# Tables
# Chairs
# PlaceSettings (china, flatware, glasses)
RESTRICTIONS

(a) Smoking in and around the Church premises and grounds is strictly prohibited.
(b) No fog machines, confetti, glitter, or loose live flower petals are allowed.
(c) Candles are not permitted.
(d) Event must conclude and premises vacated by 11:00 PM.
ALCOHOLIC BEVERAGES

Per Pilgrim Congregational Church Policies the only alcoholic beverages permitted on the premises are beer and wine.

Upon approval of Application, Applicant must specify how alcoholic beverages will be managed and verify with Church Office that all church and town requirements will be followed.

Applicant will be responsible for contacting the Harwich Selectman's office to ascertain the protocols for the serving of alcohol, whether a license is required, and detail the terms under which the alcohol will be acquired, consumed and discarded.

Applicant will further specify in said application with Town of Harwich, that Pilgrim Church is not "selling" beer or wine, and is deriving no benefit from Applicant's event other than the facility's rental fee.

The request must be filed in advance, allowing adequate time for Selectmen to consider the request. It is suggested that Applicant file at least eight (8) weeks prior to event date to ensure approval. Fees related to a license, if required by the Town of Harwich, are the responsibility of the Applicant.

Applicant must provide a Certificate of Insurance naming Pilgrim Congregational Church Harwich Port as additional insured, indicating coverage for liquor liability with a minimum coverage of $1.0 million.

Any unused alcohol must be disposed of or removed by the Applicant.
RATES & TERMS

RENTAL FEES:

Events requiring 2 Hours or less $300 total (minimum rental period)

Events requiring 2 Hours or more $125 per hour (maximum 4 hours)

Sexton    $ 50/hour

Kitchen $100 flat fee (Catered-only by SafeServe certified vendors)

Total Rental Fee is defined as the fee for Montbleu Hall + Sexton's time and Kitchen rental, if applicable

DOWN PAYMENT:

FULL PAYMENT due
SECURITY DEPOSIT

A separate payment of $125 shall be made as Security Deposit to hold the space and will be fully refundable unless:

(a) the rented area is not returned to its original condition* following the event
*condition includes, but is not limited to:
- damage to building, walls, floors, furniture or equipment
- excessive personal items or decorations left behind
- unremoved items affixed to walls or excessive holes due to thumbnails/ tacks/other, etc.

and/or

(b) the rented area is not vacated by the agreed upon time, in which case additional charges will apply. Should occupancy exceed one-quarter hour over the scheduled termination time, a fee equal to a full hour (based upon the quoted hourly rate),

in which case all or part of the Security Deposit may be forfeited. Should the time or damage exceed the Security Deposit collected, additional fees will apply.
CANCELLATION/REFUNDS

1. If notice to cancel is received more than 30 days of reserved event date, The Total Rental Fee collected will be refunded in full, with the excepton of a $50 hold fee.

2. If the notice to cancel is less than 30 days and more than 14 days of the event date, 50% of the collected fees will be refunded.

3. If notice to cancel is received 14 days or less of reserved event date, the Total Rental Fee Collected will be forfeited.

3. In the event of a catastrophic occurrence (hurricane, tornado, tropical storm, flooding, etc.) making Monbleau hall unhabitable, Total Rental Fees collected will be refunded.
I have read and understand the terms and conditions. *

Yes
Today's Date

Month Day Year
Date
Signature *

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Pilgrim Congregational Church Monbleau Hall Rental Request Form

*Caterer must be certified as a Serve Safe Protection Manager (SSPM) to prepare, handle or serve food.