Park Rental Application Form

PARK RENTAL APPLICATION

For questions, call 847-985-2115 or visit the Jerry Handlon Administration Building, 235 E. Beech Drive, Schaumburg (8:30 a.m.-5 p.m., Monday-Friday)
Sheltered pavilions include picnic tables at the site. Alcohol and smoking are prohibited at all Schaumburg Park District parks.

To check availability, contact the parks department at 847-985-2115 or email parkrentals@parkfun.com. Reservations are on a first-come, first-served basis.
Contact Information
Organization Name*
Renter's Name:*

First NameLast Name
Contact Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email:*
example@example.com
Phone Number:*
Please enter a valid phone number.
Americans with Disabilities Act Special Needs?*

YesNo
Rental Details

Cost for Park Rental

Type	Add'l Info	Fee
Resident	Fee includes $100 deposit	$200
Non-Resident	Fee includs $150 deposit	$300
In-District Civic Group		$25

All rentals have a 4-hour rental limit. All gatherings must end by 6 p.m. All fees are due at the time of booking. All deposits are refunded if sites are left clean and undamaged.

Park requested:*
Area of Park:*
Please provide the rental day/date(s)/year:*
Rental Time (From/To):*
Activities Planned:*
Approximate Number of Participants:*
Equipment Needs
Schaumburg Park District does not supply special equipment. You must request permission and obtain a certificate of insurance naming Schaumburg Park District as additionally insured to use special equipment on Schaumburg Park District property. NO SMOKING OR ALCOHOL ALLOWED!
Comments / Questions:
Organization/Authorized Signature*

Clear
Date*

MonthDayYear
Date
Park rentals are booked on a first-come, first-served basis. Rentals are finalized when the fee is processed.

By phone: 847-985-2115

In Person: Jerry Handlon Administration Building, 235 E. Beech Drive, Schaumburg (open 8:30 a.m.-5 p.m., Monday through Friday)

PARK RENTAL AGREEMENT
RECITALS

A. As used in this Agreement, “District/SRA” includes its officers, officials, agents, employees and volunteers.

B. As used in this Agreement, “premises” and “facilities” includes all rented facilities and common areas, including but not limited to parking facilities, restrooms, walkways, hallways, etc.

NOW, THEREFORE, in consideration of the recitals and representations herein set forth, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows:
INITIAL
User shall not enter, occupy or use this listed facility(ies) until the time(s) and date(s) specified above.*
User shall vacate the facility(ies) at the time(s) and date(s) indicated above or be charged a pro-rated amount for every one-half (1/2) of overtime use.*
User shall remit the full balance due for the rental of said facility(ies) upon vacation of said facility(ies)/property and immediately upon termination of rental period.*
User shall be responsible for and will pay for any damage to District/SRA property arising out of the use of the once said facility(ies)/property are vacated pursuant to this Agreement.*
District/SRA does not assume any liability for property damaged, lost or stolen on the District/SRA premises, or for personal injuries sustained onthe premises during User’s use of the premises and User hereby agrees to assume the full risk of any injuries, damages or loss, regardless of severity, that User may sustain as a result of this Agreement. User further agrees to waive and release the District/SRA from any and all losses, claims, suits or judgments or damages that User might sustain as a result of any and all activities connected with or associated with this Agreement.*
That no District/SRA equipment or property shall be removed from the premises without written permission of the District/SRA.*
That, unless otherwise permitted, no beer, liquor or any alcoholic beverages shall be brought or consumed upon the premises or be in the possession of any member of the party. It is agreed that violation of this provision shall result in automatic revocation of all rights hereunder and the forfeiture of all fees. The foregoing shall not be interpreted as limited or revoking any rights of the District/SRA under this Agreement.*
If applicable, User will set up the rooms/facility for User’s function. User will take down the room/facility after User’s function. User agrees to wash, clean and put away all dishes, clean tables and chairs, bag all garbage and place on kitchen floor and/or restore the facility to its prior condition, ordinary wear and tear excepted.*
User shall be responsible for inspecting the facility subject to this Agreement prior to each use and shall be responsible for bringing to the District/SRA’s attention any potential dangers, safety hazards or problems. User is solely responsible for determining whether said facility(ies) is safe, appropriate, and/or compatible for User’s intended use.*
User is solely responsible for providing any and all supervision at all times during User’s use of any facility, including but not limited to the rented facility, and all common areas. Further, User shall be responsible for ensuring that User’s guests and invitees comply with all applicable rules and regulations pertaining to use of District/SRA facilities.*
User shall not permit any area to be used for any disorderly or unlawful purposes during the period of this Agreement.*
User is responsible for the cost of all field and equipment damage(s) incurred on the field during User’s function.*
That this agreement for use of the District/SRA facility(ies) will not be entered into by the District/SRA unless said Agreement is signed by an authorized representative or agent of User and delivered to the office of the District/SRA at the above address with appropriate security deposit.*
That either party hereto may cancel this Agreement by delivery of written notice to the other party at least one (1) week prior to the scheduled hour as hereinbefore designated. If this Agreement is so canceled, User will not be required to pay the fee hereinbefore designated. The security deposit will be forfeited in all other circumstances whether or not the premises are used by User.*
It is fully understood and agreed by the parties that User shall fully defend, indemnify and hold harmless the District/SRA, including its officers, employees, volunteers and agents against any and all liabilities, claims, damages, losses, costs and expenses (including reasonable attorneys’ fees) arising indirectly or directly in connection with or under, or as a result of this Agreement.*
User’s insurer shall agree to waive all rights of subrogation against the District/SRA. This insurance requirement may be waived or modified upon written approval by the District/SRA.*
User shall comply with any and all applicable rules, regulations, ordinances and permit procedures.*
This rental agreement may be revoked at any time at the discretion of the District/SRA due to misrepresentation of User, the misconduct of individuals in the group or for misuse of property. Future rentals may not be issued to User.*
This agreement is entered into solely for the benefit of the contracting parties, and nothing in this agreement is intended, either expressly or impliedly, to provide any right or benefit of any kind whatsoever to any person or entity who in not a party to this agreement, or to acknowledge, establish or impose any legal duty to any third party.*
This agreement may not be assigned by User without the District/SRA’s prior written consent.*
This agreement represents the entire understanding between the parties. This agreement may be modified or altered only by further agreement in writing between the parties.*
Interpretation of this agreement shall be governed by the laws of the State of Illinois.*
Organization/Authorized Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

PARK RENTAL APPLICATION

Contact Information

Rental Details

Equipment Needs

PARK RENTAL AGREEMENT

INITIAL