Rose Room Policy
08/01/08
CITY OF AUBURN
1225 LINCOLN WAY
AUBURN, CA 95603
MAXIMUM OCCUPANCY: 114 PERSONS
ROSE ROOM RENTAL
AGREEMENT AND PERMIT FOR USE
Organization/User Name _____________________________________ Today’s Date ______________________
Contact Person _____________________________________ Phone ________/____________________________
First Last Business Home
Address_______________________________________________________________________________________
Street/P.O. Box City Zip Code
Use Day and Date _________________________________________ Time ______________________________
Type of Event/Use __________________________________ Estimated Attendance _______________________
Non-Profit? Yes _____ No _____ Profit? Yes_____No _____Taxpayer ID #___________________________
Open to public?
Yes ____
No ____
Will there be live music?
Yes ____ No ____
Admission charge?
Yes ____
No ____
Will there be recorded music?
Yes ____ No ____
Caterer?
Yes ____
No ____
Name of Caterer: _______________________________
Person in charge of event_________________________________ Phone________________________________
Checks made payable to: City of Auburn
SERVICE ORGANIZATIONS ONLY
Security Deposit: $100.00 (a separate check)
$________________
Rental Fee: HOURLY RATES TO INCLUDE TIME FOR SET-UP AND CLEAN UP
1st Hour @ 25.00 / per hour
$
25.00
Total Additional # of Hours _________ @ $5.00 / per hour
$ ________________
Total Due
$ ________________
Liability Insurance: Certificate of Insurance protecting City of Auburn in amount of $1 million is required.
User hereby waives all claims and recour