CAMP AGAWAM FACILITY RENTAL FORM

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CAMP AGAWAM FACILITY RENTAL FORM Camp Agawam facilities are available for rental use to everyone. Facilities must be reserved and paid for at least (2) weeks in advance, but can be reserved up to six (6) months in advance. Reservations will be issued in the order in which they are received. Follow these steps to rent a campsite/ facility: 1. Mail, fax or drop off your completed Camp Agawam Facility Rental Form with full payment to the Orion Center (1335 Joslyn Road, Lake Orion, MI 48360). Reservations will not be processed without payment. 2. Upon processing of your reservation, you will receive a confirmation packet. If the requested campsite/ facility is not available, you will receive a notice allowing you an opportunity to select a different facility or date, if available. Special Note of Payments To comply with auditing practices, checks are deposited and credit cards are processed upon receipt. If a reservation cannot be accommodated, a refund will be issued. Checks returned for insufficient funds or credit cards declined are subject to cancellation of facility rental, unless immediate action (within 1 week of notification) is taken to correct the problem. Property Notice In order to do our part in helping to control the spread of disease to our trees and the trees in our communities, bringing firewood that is not wrapped, bundled, and labeled Insect Free onto our properties is prohibited. All of our sites have firewood available for your use. Please be conservative, and keep in mind that our staff has limited time for firewood production. Campfires are only permitted is designated fire rings and winds must be under 10 mph. All camp fires must not be unattended and must be completely out before leaving the site. Restrictions Please refer to Orion Township Ordinance #132 (Parks and Recreation) Parking Parking is only permitted in the designated parking areas. No parking is allowed on the roads or next to the buildings due to fire safety. Cleaning/ Checkout Inspection Rental group is responsible for the cleanliness of the rented facility throughout the duration of the rental period. The property and facilities will be clean and ready to use at the beginning of the designated rental period (e.g. paper towel, toilet paper, and soap dispensers stocked; trash cans lined; etc.). You are expected to clean up after your event and leave the property and facilities clean and ready to use for the next rental group. If the facility is left without cleaning, your security deposit may be forfeited. Vacating the Premises On the checkout date indicated on the rental agreement, the rental group will vacate the premises by 12:00 PM unless otherwise pre-arranged with Orion Township. Failure to leave by the aforementioned time will result in additional fees and/or forfeit of your security deposit.

CAMP AGAWAM Facility Rental Form Contact Person: Organization (if applicable): Address: City: Zip: Day Phone: Evening Phone: Fax: Cell Phone Event Purpose: Email Address: Estimated Attendance: Type of Use: Private Rental Camping Other: Duration of Use: One Time Only Weekly Weekend M Tu W Th F Sa Su Date(s) Requested: Time(s) Requested: Please be sure to include set-up and clean-up in your rental request. Facility Requested at Tent Site Rentals: Site name: Facility Requested at Rental Sites: Alberici Lodge Birch Grove Lodge Woodbadge Pavilion Trails Activity Field East Pavilion Hitchcock Pavilion Morrison Pavilion Fire Bowl AGREEMENT: The Undersigned Hereby Agrees to the Following: Payment of all applicable rental fees as outlined in the rental policy guidelines, including but not limited, to 200 damage deposit (no damage deposit for Tent site rentals) and 15 application fee. Provide proof of liability insurance as required in the attached Insurance Requirements (see page two). Some facilities are winterized from October 2 April 30 No smoking, alcoholic beverages or illegal substances are permitted on Township property. Applicant is responsible for the conduct of participants and spectators. Profane language, boisterous behavior, or other objectionable demeanor is not permitted. The applicant must abide by the policies of the Charter Township of Orion and the laws of the State of Michigan. Federal Law, Fire and Safety Codes will be enforced. Complete Policy Received (initial) The undersigned hereby applies to the Charter Township of Orion for the use of above facilities and certifies the information is correct and furthermore agrees to abide by all ordinances, policies, and rules and regulations which may apply. The applicant shall indemnify and hold harmless the Charter Township of Orion, its elected and appointed officials, its employees and agents from and against any and all claims, demands, suits, actions, payments and judgments as a result of injury or death of any person or property damage to any property sustained by applicant or any other persons which arise from or in any manner grow out of any act or omission on or about said facility by applicant, its agents, guests or employees in the execution of this rental agreement including any and all expenses, legal or otherwise incurred by the Charter Township of Orion or its representatives in the defense of any site or claim. Such indemnity shall not include claims arising as a result of the sole negligence of the Charter Township of Orion, its elected and appointed officials, its employees and agents. Photographs may be taken at certain Recreation Department activities and unless the department receives signed, written objections, photos may be reproduced for publication. DO NOT ATTEMPT TO USE FACILITIES WITHOUT TOWNSHIP APPROVAL/PERMIT Applicant s Signature: Date:

Facility Camp Agawam Facility Rental Form Page Two Applicant/Organization Name: Other Information: Is your event open to the public? Yes No Will you be serving food and/or beverages? Yes No Will there be children attending the event? Yes No Will there be live or amplified music? Yes No Are you charging for admission on-site or off-site? Yes No Will you be selling concessions during the event? Yes No Are you hiring a party vendor? (caterer, DJ, entertainer, inflatable, etc.) Yes No Will fundraising or product sales take place on-site? Yes No Liability Insurance Requirements A. All commercial, non-profits and charitable groups, which include but are not limited to; moon walks, dunk tanks, tethered hot air balloon rides, tent rentals, etc., must provide evidence certifying insurance coverage in the amount of 1,000,000.00 combined single limit liability insurance policy naming The Charter Township of Orion and including all elected and appointed officials, all employees and volunteers, all boards, commissions and/or authorities and their board members, employees and volunteers as Additional Insured to said policy. The minimum coverage is a 1,000,000.00 policy as directed by the Township s attorney. A copy of your policy must accompany your completed rental agreement. Department Staff Use Only Employee Completing Application: Date: Time: Rental Check List: Permit # Copy of Insurance Completed Application Facility Set-up Form(s) Special Requests Form of Payment: Cash Check # Money Order Assessed Fees: Application Fee 15.00 100 Damage/Security Deposit 1 00.00 Rental Fee TOTAL DUE Damage/Security Deposit: Refund Request Date: Assessment of Damages: Total Refund: Check Number: Date Mailed:

CAMP AGAWAM FACILITY RENTAL FEES Cabin Rentals Cabin Capacity Total fee Inside water Inside bathrooms Showers Maximum Vehicles Alberici Lodge 25 175.00 X X X 15 Birch Grove 24 175.00 X X X 10 Tent Site Rentals Tent Site Fee Water (May 1- October 1) South Hill (picnic shelter) 30.00 X Apache 20.00 X Cherokee 20.00 X Outpost 20.00 X Pines 20.00 X Pine Grove 20.00 X Chippewa 20.00 X Picnic Area 25.00 Fort Pontiac 40.00 X Miscellaneous Rentals Area Fee Notes Activity Field 50.00 East Pavilion 50.00 Hitchcock Pavilion 50.00 Morrison Pavilion 50.00 Woodbadge Pavilion 50.00 Fire Bowl 25.00 Additional Fees 15 Application fee 10 Cancellation fee 10 Change fee 100 Security Deposit *does not apply to tent sites

Phone: (248) 391-0304 Fax: (248) 393-6858 Website: www.oriontownship.org