BRIDGE CITY
COMMUNITY CENTER
RESERVATION APPLICATION

Date of Application__________________________ 

Date(s) of Event _________________________________

Applicant Name __________________________________________________

Address ____________________________________

City_______________________ State_______________

Group or Oraganization______________________________________________________________________

Home Phone ____________________ Business Phone__________________

Cell Phone__________________

Please give a name and phone number of a person who can be reached in the event that applicant cannot be reached.

Name___________________________________________________

Phone____________________________

Type of Event___________________________________________________

Date______________________ Time _____________________

Will liquor be served? ___________________

Private Party__________________________________

Open to Public ________________________________

DEPOSITS & FEES: (*) final rental balance and deposit(s) due ten (10) days prior to function

Damage Deposit:  $500.00       (Provide separate check for damage deposit please)

Date Paid________________ Check #_________________________

Total Rental Hours: _________________________

Rental Fee: $______________  Clean Up Fee: $___________

Deposit to Hold Building  $50.00      Date Paid __________________ 

Check # _________________________

Balance Due $________________________ Due Date (*) ________________

Date Paid _________________

** If there will be alcohol consumption at a function, an off-duty Bridge City police officer will be required for security.  The fee for the officer is $30.00 per hour.  A police officer and chaperones will also be required for a teen dance. (See operating policy).

PLEASE LIST CHAPERONES (Names and phone numbers):

________________________________________  _________________________________________

________________________________________  _________________________________________

________________________________________  _________________________________________

_________________________________________  _________________________________________

_________________________________________  _________________________________________

STATEMENT OF DAMAGE

I / We, the undersigned, hereby agree to pay for any loss or damage to any and all equipment or facilities of the City of Bridge City, which shall ensue as a result of our group’s presence and behavior while in the Bridge City Community Center during our functions, and to abide by the laws of the City of Bridge City and the State of Texas, and the rules and conditions as set forth in this application.

Applicant Signature________________________________________________
                                              (Must be 21 years of age)

Driver’s License # _______________________________________________

INSPECTION SCHEDULE:

OPENING WALK-THROUGH INSPECTION: 

DATE_____________________ TIME__________________

CLOSING WALK-THROUGH INSPECTION:

DATE _____________________ TIME__________________

OPENINGS AND CLOSINGS FOR FUNCTION:  (2 are included in rentals)

Opening time: _____________ Closing time:________________

Opening time: _____________ Closing time:________________

Additional: ($50 fee for each opening/closing)

Opening time: _____________ Closing time:________________

Opening time: _____________ Closing time:________________