Empire Electric Association, Inc.
Calvin Denton Room Utilization Contract
All starred (*) fields are required.
*Applicant/Acct Holder: *Event:
*Applicant/Acct Holder:
(if Joint Account)
*Date In: *Time In:
*Member Account #: *Date Out: *Time Out:
*Phone #: Key #:
*Second/Cell Phone #: Available By Request:  TV Remotes
 Dry Erase Markers
**Email Address:
**EMAIL ADDRESS IS REQUIRED FOR ONLINE CONTRACT BOOKINGS — A confirmation will be sent by email if the reservation has been confirmed.

The undersigned Applicant agrees to follow and abide by the Eligibility Requirements, Restrictions and Responsibilities as set forth below:
I. Eligibility Requirements
  1. All Applicant activities in the Calvin Denton Room for the event shown above ("Event") shall be not "For Profit."
  2. Applicant (or the authorized agent of the Applicant) must be over 18 years of age.
  3. Applicant (or the authorized agent of the Applicant) shall be present at all times during the Event and takes full responsibility for the use of the Calvin Denton Room according to this contract.
II. Restrictions
  1. No tobacco or tobacco products are allowed inside the Calvin Denton Room and any other part of Empire's premises at any time.
  2. Possession or use of alcoholic beverages, illicit drugs, or any illegal substances is prohibited in the Calvin Denton Room and any other part of Empire's premises.
  3. No open flames or lit candles left unattended, etc.
  4. Noise in the Calvin Denton Room shall be maintained at levels that allow surrounding business offices to proceed with normal business activities.
  5. The maximum occupancy of the Calvin Denton Room shall not exceed 85 persons
  6. Applicant shall not conduct any unlawful business on the premises.
  7. A maximum of 12 bookings in one calendar year shall be allowed per member.
  8. Applicant assumes all responsibility and risk for the care and supervision of children who may attend the Event. Children shall remain inside the Calvin Denton Room during the Event and only use the parking lot for going to and from the Calvin Denton Room.
III. Responsibilities
  1. The Calvin Denton Room key shall be picked up from Empire during normal business hours prior to room use. Following the event, the key shall be placed in the key return box outside the Calvin Denton Room door.
  2. Applicant shall turn off all auxiliary lights and secure the doors upon vacating the Empire premises.
  3. If dancing occurs during the Event, all scuffmarks shall be cleaned from the floor.
  4. Wall decorations are limited to use of the tack strips provided in the Calvin Denton Room and must be removed by the Applicant when the Empire premises are vacated.
  5. In order to maintain a good status for using the room, we request the member call in as soon as possible prior to the event date if the event is cancelled or the venue has changed. Please call Empire Electric (970) 565-4444.
IV. Miscellaneous
  1. There is no charge for the use of the Calvin Denton Room; however, should Empire determine that the Applicant's use of the Calvin Denton Room requires cleaning or results in any repair costs or loss of any item or piece of equipment on Empire's premises, Empire will incur the costs for clean-up, repair, or replacement and the Applicant shall pay such costs. Cleaning costs shall be a minimum of $50 and include reasonable labor and overhead costs related to the Calvin Denton Room itself, the restrooms, parking lot, and landscaping.
  2. Applicant shall pay for any lost or damaged room keys at the cost of $5.00 per key.
  3. Empire reserves the right to cancel any reservation at any time for any reason by notifying the Applicant
  4. Empire may cancel this Contract or deny future use of the Calvin Denton Room if the Applicant fails to comply with any of the Eligibility Requirements, Restrictions, or Responsibilities of this Contract.
  5. Applicant assumes responsibility for injury to any person or persons using the Calvin Denton Room under this Contract and the Applicant shall indemnify and hold harmless Empire from the claims or demands of any person, who asserts his/her injuries arose from the activities associated with the Event while on the premises of Empire.
V. Additional Applicant Duties
If the Calvin Denton Room is not left clean and orderly, we will assess a cleaning charge. We will also charge for lost or damaged keys. Applicants are expected to:
  • Remove your wall decorations
  • Put folding chairs and tables in the closet
  • Clean scuffmarks from the floor
  • Place trash in the receptacles
  • Clean bathrooms and lobby area
  • Turn off the lights
  • Secure the doors
  • Clean parking lot (if appropriate)
  • Replace TV and VCR remote units in the purple pack and leave them on the closet shelf
  • Clean the kitchen area, remove any leftover food and clean any dishes used
  • PLEASE LEAVE THE CARD KEY IN THE DROP BOX BEFORE YOU LEAVE
VI. Electronic Card Keys
  1. A pre-programmed Card Key is assigned to all users of the Calvin Denton Room. Your pre-programmed Card Key will open the outside entrance doors leading to the Calvin Denton room and also the door inside the Calvin Denton room that leads to the west side (back side) of the building towards the parking lot.
  2. Inside the entrance on the wall to the right are two silver switch-plates marked "START" and "STOP". Once you've entered the building push the "START" button. A green light will flash, activating a pre-set timer for 2 hours that will allow the entrance doors to remain open for that period of time. If your meeting or event will go on for more than 2 hours, you will need to push the "START" button again-this re-sets the timer to leave the doors open.
  3. If you forget to push the "START" button (the green light is not flashing) and you go outside, you will not be able to re-gain access to the building without the pre-programmed Card Key.
  4. When you have finished with your meeting or event and after you have cleaned up: Make sure you have all your belongings, and the pre-assigned Card Key, push "STOP" button before you leave the building and deposit the Card Key in the black "Key Box" outside the Calvin Denton Room doors.
  5. Please remember, the Card Key that you have been issued has been pre-programmed for the use of the person that has signed the Contract only — and you will be held responsible for any damages to the building and/or landscaping, and parking lots, loss of the key, or unauthorized access to the building.
  6. In order to maintain a good status for using the room, we request the member call in as soon as possible prior to the event date if the event is cancelled or the venue has changed. Call Empire Electric at 565-4444.
VII. Signature & Date
**These fields are REQUIRED if physically mailing this contract; otherwise proceed to VIII.Electronic Signature below.
 
Applicant/Representative Signature Date
Applicant/Representative Signature Date
Empire Electric Representative Date

VIII. Electronic Signature & Date (if emailing this form)
If you will be emailing this contract, create your electronic signature below
COMPLETE STEPS #1,#2 & #3 TO LEGALLY SIGN THIS DOCUMENT

STEP #1: Type the words I ACCEPT THESE TERMS below


STEP #2: Enter your name below


STEP #3: Enter the date (MM/DD/YYYY) this application was submitted


PLEASE TAKE A MOMENT TO PRINT THIS COMPLETED FORM FOR YOUR RECORDS

Submit This Contract
Click the "Submit Contract" button below to submit the information above to Empire Electric Association