prumc
 
  Rental Agreement
Peachtree Road United Methodist Church, Department of Sports, Recreation and Life Enrichment    
 
3180 Peachtree Road  DATE:
Atlanta, GA 30305 INVOICE #
Phone 404.240-8222   Fax 404.266-0063, cakin@prumc.org, www.prumcsports.org FOR:  
 
 
Renter:
Name  
Company Name  
Street Address  
City, ST  ZIP Code  
Phone  
DESCRIPTION AMOUNT
PRUMC Sports and Recreation Facility Rental  
Rental Fees: $75 per hour , 2 Hour minimum  
Use of PRUMC Sports and Recreation facilities is at the sole discretion of PRUMC   
 A PRUMC staff member must be on site during facility usage.   
All rental fees must be paid in advance!  
Use of PRUMC Sports and Recreation equipment is at the sole discretion of PRUMC Sports and Recreation and may result in additional charges.     
Food is only allowed in designated areas never in the Gym.  
Set-up and clean up is the responsibility of the user.    

_____ Certificate of Liability Insurance Required. Please have a certificate issued to Peachtree Road United Methodist Church, 3180 Peachtree Rd Atlanta, GA
 
 

Dates and hous of use & Rental Descrtiption:

   
   
     
   
   
Aditional Charges:   $   
   
Total:    $                     -  
     
Credit Card or Check #________________________________  
Expiration Date: ______________  
   
Signature of Card Holder________________________________________  
   
Mail to: Peachtree Road United Methodist Church  
Attn: Charles Akin  
3180 Peachtree Road   
 
Atlanta, GA 30305

 


Guests List


By signing this document, the guardian confirms that he or she has authority to sign, has read the entire document and has understanding that the
document waives certain rights of the person signing or the participant

I recognize that there are inherent risks involved in sports or other program activities in the Peachtree Road United Methodist Church (PRUMC) Department
of Sports, Recreation and Life Enrichment.  In consideration of the services provided, I hereby release and hold harmless, PRUMC and its Department of
Sports, Recreation and Life Enrichment and its Directors, employees, and agents from any and all liability for injuries, including those resulting in death,
and illnesses incurred while participating or attending any event or in any facility of PRUMC. 
 

 Name of Participant

Name of Parent / Guardian (if participant under age 18)

 Signature of Participant ( or Parent/Guardian)