RENTAL APPLICATION FOR INDIVIDUAL, ORGANIZATION OR GROUP REQUESTING USE OF THE VILLAGE CREEK CLUB, INC. FACILITIES The Village Creek Club, Inc. P.O. Box 30026 Lumberton, TX. 77657-1026 Date: Facilities to be rented Individual/Organization/Group Date(s) of Proposed Use Time of Arrival at Club Grounds Time of Departure from Club Grounds Number of People This individual, group or organization has received a copy of the "Rules for the use of VCCI facilities" (see attachment "B"). These have been read and this group understands said Rules and agrees to abide by same. Individual/Organization/Group Representative Address & Telephone No. Attached is a security deposit in the amount of $ to be refunded within fifteen (15) days of departure if premises are left as they were found. ALL PERSONS USING ANY OF THE CLUB FACILITIES DO SO AT THEIR OWN RISK. THE CLUB SHALL NOT BE RESPONSIBLE FOR AN ACCIDENT OR INJURY CAUSED BY THE NEGLIGENT ACTION OF MEMBERS OF AN ORGANIZATION OR GROUP RENTING ONE OR MORE OF THE CLUB FACILITIES. NOR SHALL THE CLUB BE LIABLE FOR ANY DAMAGE CAUSED TO THE PERSONAL PROPERTY BELONGING TO ANY MEMBER OF AN ORGANIZATION OR GROUP RENTING ONE OR MORE OF THE CLUB'S FACILITIES. (Signed by individual/organization/group representative) Accepted by VCC representative on (VCC Representative) (VCC Representative) ATTACHMENT "A" RENTAL FEE SCHEDULE FOR VCC FACILITIES (Effective 02/09/05) A. The Retreat (clubhouse) & Grounds: a. 0 – 150 people *………………………..$235.00 per 24 hr day b. Over 150 people……………………….$300.00 per 24 hr day c. 0 – 150 people…………………………$450.00 per two day weekend (48 hrs) d. Over 150 people……………………….$500.00 per two day weekend (48 hrs) e. 0 – 150 people…………………………$1000.00 per six day week f. Over 150 people……………………….$1200.00 per six day week i. A $200.00 deposit required upon application for reservations ** ii. Check-in is 12:00 Noon / Check-out is 4:00 p.m. iii. Extended check-out requires an additional $25.00 (if available) B. Pavilion & Grounds Only: a. 0 - 150 people………………………..$200.00 per day b. Over 150 people………………………$300.00 per day i. A $100.00 deposit required upon application for reservations ** C. Bar-B-Q House added to above facilities: a. $45.00 Flat Fee * People includes all persons except children under age 2 ** Cash or a check for the full rental amount is required upon arrival NOTE: There is a pool table available in the clubhouse. The cost to play pool is 25 cents per game. We do not keep change on hand so remember to bring quarters. ATTACHMENT "B" RULES FOR USING THE VILLAGE CREEK CLUB FACILITIES A. ALL ORGANIZATIONS OR GROUPS RENTING A VCC FACILITY (INCLUDING "THE RETREAT") WILL ABIDE BY THE FOLLOWING RULES: 1. THE MAXIMUM SPEED ALLOWED FOR ALL TRAFFIC ANYWHERE ON CLUB PROPERTY SHALL BE 10 M.P.H. 2. ORGANIZATIONS OR GROUPS WILL LIMIT THEMSELVES TO THE SPECIFIC FACILITY OR FACILITIES RENTED EXCEPT WHERE PERMITTED OTHERWISE. 3. DISORDERLY CONDUCT, USE OF LOUD OR PROFANE LANGUAGE, DESTRUCTION OF CLUB PROPERTY, OR EXCESSIVE INTOXICATION MAY BE CAUSE FOR IMMEDIATE EJECTION FROM CLUB PROPERTY. 4. ALL TRASH MUST BE PLACED IN THE CLUB DUMPSTER PRIOR TO DEPARTURE FROM CLUB GROUNDS. 5. CHANGING OF CLOTHES FOR SWIMMING SHALL BE LIMITED TO THE BATH HOUSE OR THE BATHROOMS IN THE CLUB HOUSE. 6. ANIMALS MUST NOT BE ALLOWED TO RUN LOOSE ON CLUB GROUNDS. 7. NO FIREARMS, INCLUDING HANDGUNS, BOWS, AIR RIFLES, PELLET GUNS OR OTHER WEAPONS ARE ALLOWED ON CLUB PROPERTY. 8. AUTOMOBILES OR OTHER FORMS OF TRANSPORTATION SHALL BE PARKED IN AREAS THAT DO NOT BLOCK ACCESS TO CABIN ROADS. 9. MOTORCYCLES, GO-CARTS, FOUR-WHEELERS OR ANY OTHER NOISEY MEANS OF TRANSPORTATION ARE NOT ALLOWED TO "JOY-RIDE" WHILE ON CLUB PROPERTY. 10. EXCESSIVELY LOUD MUSIC IS NOT ALLOWED AFTER 10:00 P.M. 11. IF ALL AREAS ARE LEFT IN THE CONDITION THEY WERE FOUND, THE SECURITY DEPOSIT WILL BE RETURNED TO THE GROUP OR ORGANIZATION REPRESENTATIVE WITHIN 15 DAYS. 12. ALL PERSONS USING ANY OF THE CLUB FACILITIES DO SO AT THEIR OWN RISK. THE CLUB SHALL NOT BE RESPONSIBLE FOR AN ACCIDENT OR INJURY CAUSED BY THE NEGLIGENT ACTION OF MEMBERS OF AN ORGANIZATION OR GROUP RENTING ONE OR MORE OF THE CLUB FACILITIES. NOR SHALL THE CLUB BE LIABLE FOR ANY DAMAGE CAUSED TO THE PERSONAL PROPERTY BELONGING TO ANY MEMBER OF AN ORGANIZATION OR GROUP RENTING ONE OR MORE OF THE CLUB'S FACILITIES. C:\My Documents\vcc\facility rental request.doc