Northampton Municipal Utility District

Letter of Rental Request
Please fill out the form below; this form is only a preliminary to rental.
The form must be approved by MUD personnel.

Forms submitted without a valid email address cannot be processed.

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Telephone:

Email:

Facility Requested:

Northampton Community Center (new facility between tennis courts and pond)

Northcrest Activity Building (new facility east of pool)

Northampton Pool Pavilion ("big" pavilion between pool and tennis courts)

Northcrest Pavilion (new structure between pool and Northcrest)

West Park Pier and Pavilion

Inway Pavilion

Auburn Lakes Clubhouse

Date Requested:

Time Requested:

Type of Event:

Approx # Attending:

Will alcohol be served?

Yes

Comments:

Policies:

. No alcoholic beverages at any pool function. . Smoking is not permitted inside of buildings. . No firearms or fireworks allowed. . No piñatas on park grounds. . Kitchen areas are for food distribution only. Food is to be covered dish or catered. . Pets are not allowed except as necessary to assist the disabled. . No red or purple drinks as they stain carpet. . Fund raising activities are restricted to nonprofit basis and must have prior approval. . Facility use is restricted to those activities designated in the original request. . Facilities must be returned to the same condition as prior to the rental, and under any circumstances, clean and secured. . Prior approval is required to attach anything to walls or cabinets. . Children under 18 years of age must be supervised at all times. . Insurance which names the Northampton Municipal Utility district as additionally insured must be furnished upon the request of the board of directors. . Tables and chairs are to be carried and not pulled across carpeted areas. . At the conclusion of the event, a final check out sheet is to be signed by the party responsible for the event and any accidents or unusual events must be documented.

I agree to the rental policies.

I do not agree to the rental policies.

I am a Northampton Resident and accept full responsibility for the event.

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