Meeting Room Rental Reservation

Meeting Room Rental Reservation
Applicant Information
Are you applying as an individual or organization?*

Individual ApplicantOrganization
Applicant Name*

First NameLast Name
Organization Type*

Non-ProfitFor Profit
Organization Contact Person*

First NameLast Name
Organization Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Add your best contact to reach you.
E-mail Address*
example@example.com
Meeting Room Information
Information & Layouts for the Sawgrass Room
Information & Layouts for the Everglades Room
Please check the room you would like to reserve:*

SawgrassEverglades
For the following purpose*
Number of Attendees*
Number of Attendees*
Layout Setup for the Sawgrass Room*
Layout Setup for the Everglades Room*
Date and Time*

MonthDayYear
Monday – Friday Only from 8 a.m. - 9 p.m. | No Weekend Schedule
Hour MinutesAM/PM Option
Will you be needing Audio / Visual setup?*

YesNo
If yes, please indicate what is needed.*
Hold Harmless

In consideration for the use of the facilities indicated above, the applicant does hereby agree(s) to indemnify and hold the City, its agents, officers, and employees harmless from all claims, actions, and causes of action, damages, losses, and liabilities, costs, or expenses whatsoever, arising of the use of the facilities.

Applicant expressly agrees (s) that the Hold Harmless is intended to be as broad and as inclusive as permitted by the laws of the State of Florida and that if any portion thereof is held invalid, it is agreed to acknowledge authorization to execute this Hold Harmless on behalf of the applicant.
I HAVE CAREFULLY READ THE FOREGOING HOLD HARMLESS AGREEMENT AND KNOW THE CONTENTS THEREOF, AND HAVE SIGNED THIS DOCUMENT AS MY OWN FREE ACT. By typing my name in the below space, I am electronically signing this form. My signing this electronic signature certifies the information to be true, accurate, and complete.*

First NameLast Name
Should be Empty:

Meeting Room Rental Reservation

Applicant Information

Meeting Room Information