Request for Meeting Space

Developmental Pathways
Request for Meeting Space
Inverness Office Jewell Office
325 Inverness Drive S. 14280 E Jewell Ave, Suite A
Engelwood, CO 80112 Aurora, CO 80012
Person Completing this request
First NameLast Name
Contact Person ON SITE during event **
First NameLast Name
ON SITE Contact Cell Phone Number
Area CodePhone Number
** ON SITE person is responsible for returning the room(s) to orginal state**
Sponsoring Organization
Billing Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Name of Meeting
Addition questions regarding meeting
Number Expected (Audience and Participants)
Room/s: Room Capacity shown is theater layout ***Meetings cannot exceed maximum room capacity ***
Date Reservation
Start Time (this includes set up time)
:HourMinutesAM/PM Option
End Time (this includes clean up time)
:HourMinutesAM/PM Option
Set up requested (additional custodial charges my apply)*
If bringing in catering, will you need access to the kitchen?
YesNo
Responsible Party Signature*
Clear
Date
Business Phone
Area CodePhone Number
Home/Cell Phone
Area CodePhone Number
Email
example@example.com
RENTAL TERMS

User Responsibility
A.           The signer of the application warrants that s/he is duly authorized to act as the legal agent of the organization using the building/facility, and as such, will be responsible for compliance with all conditions for use of the property and equipment.
B.           The applicant agrees to indemnify and hold Developmental Pathways harmless from any and all claims, losses, liabilities and damages arising from including, but not limited to, fines, penalties and attorney fees arising from applicant’s use of the building.
C.           The applicant agrees to discard of all trash in the bins provided and return the room to original state.

General Regulations
A.           The use and possession of alcoholic beverages or illegal drugs by any person or group is strictly prohibited.
B.           Smoking in all buildings is strictly prohibited, except in areas designated by the building principal or building manager.
C.           Safety – All applicable fire and safety laws/regulations must be observed at all times.
Should be Empty:

Inverness Office	Jewell Office
325 Inverness Drive S.	14280 E Jewell Ave, Suite A
Engelwood, CO 80112	Aurora, CO 80012

Developmental Pathways