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Meeting House Reservation Application
This application is mandatory for reserving Private or Special Neighborhood Events at the Meeting House and Pool. The Meeting
House is to be used on a reserved basis only, except for the exercise facility and the pool areas, which will be open to residents based
on the hours of operation published by the Association. This form must be filed with the office at least 24 hours prior to the any
intended use for small gatherings so that the security system can be programmed accordingly. Please note that swimsuits are not
allowed in the Meeting House or the Fitness Center and in no way is the pool to be used in conjunction with a Meeting House
function. Pool parties are available by reservation on Monday through Friday, excluding Holidays, leaving Saturday, Sunday and
holidays available for the quiet enjoyment of the residents.
A copy of the Meeting House Rules and Regulations should accompany this application. If for some reason you do not receive these
Rules and Regulations, it is your responsibility to obtain a copy from an agent of the Providence Neighborhood Association, the Town
Founder or Providence Properties. Failure to obtain a copy of the Rules and Regulations does not waive your responsibility to follow
the Rules and Regulations.
A usage fee is required for any group wishing to use or reserve the Meeting House or pool area. A mandatory $250 damage deposit
made payable to the Providence Neighborhood Association, Inc. is required to reserve a room in The Meeting House is not an
Association sponsored event. Your application is not complete until we receive the $250 damage deposit. A non-refundable usage fee
will apply as follows:
1-8 people – $15
9-15 people - $30
16-50 people - $50
51-75 people - $100
76-above people - $200
Weddings and receptions $400
The damage deposit will be returned to you within 30 calendar days if The Meeting House is left in satisfactory condition.
Deliver this completed form along with the applicable usage fee and damage deposit, if required, to Providence Neighborhood
Association, Inc., PO Box 11035, Huntsville, AL 35814 at least 24 hours prior to your requested date. You may also email the
completed form to [email protected] or fax it to (256) 837-1373 and then mail your payments to the address above. You will
receive a copy of this form with the bottom portion completed as your receipt.
Responsible Party:
Phone number:
Email Address:
Date and Time:
Circle the Room you
wish to use:
Dining Parlor, Sofa Room, Upstairs Game Room (option
for whole room or one table please circle), Upstairs
Reading Room OR Pool Area
Description of event:
Number of guests:
Will food and/or beverages be served?
Will there be music?
Yes
No
Yes
No
“In consideration of being permitted to use The Meeting House located in The Village of Providence as located in Huntsville, Alabama, in
addition to other good and valuable consideration, I, for myself, my heirs, personal representatives or assigns, do hereby agree to indemnify and
hold harmless the Providence Neighborhood Association, Inc., its officers, employees, and agents from liability and any and all claims arising
from or resulting in personal injury, accident, illness, death and/or property loss as a result of, but not limited to, participation by myself or any
guest at such event. I, for myself, my heirs, personal representative or assigns, do further agree to indemnify and hold harmless the Providence
Neighborhood Association, Inc., its officers, employees or agents, from any and all liability or claims from third parties which result in personal
injury, accident, illness, death and/or property loss arising out of the event and my use of The Meeting House located at The Village of
Providence.”
By signing this Application, you are affirming that you have read and understand the Rules and Regulations governing the Meeting House and
you have read, understand, and have signed the Providence Neighborhood Association’s Waiver of Liability. The undersigned also agrees
not to move furniture from one room to another and not to burn the house candles.
Signed:
Date:
Receipt (to be completed by Association)
Application to reserve the Meeting House
$250 damage deposit and Usage fee $____________(if usage fee does not apply enter $0.00)
“Waiver of Liability” on file Meeting House Reservation Application 3/05
Received by: _____________________________________________________ Date: ________________
Reservation approved by: ___________________________________________ Date: ________________