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Grass Hollow Archery & Training Center 

Online Archery Challenges, LLC; dba Grass Hollow Archery., herby lets and leases unto the lessee, the multipurpose room on the following dates and times:

Said Premises will be used for team practices, meetings, leagues and for no other use without the prior approval of Grass Hollow Archery, LLC.

Prepayment of hourly rental fee is required 3 days in advance of occupancy.  Cancellation notice for scheduled hourly rentals must be received 3 business days in advance or renter forfeits ½ of rental fee. Cancellation for all rentals in groups of 5 days or more must be cancelled 5 business day in advance and the renter forfeits 50% of rental fee. Any group that rents space and is a no show, shall pay 100% of the rental fee. Return check due to insufficient funds are subject to a minimum $50 fee and may be higher if bank fees are such.

Rental Fee: $35 per hour (Fall 2018 - Spring 2019 must be Pre-Scheduled)

Emergency Rental - $40 per hour (Last minute booking for sports teams and other organizations)

Any organization needing to store equipment prior to use of facility shall contact an owner of Grass Hollow Archery to arrange such needs, and at no time shall the renter or anyone working on behalf of the renter, expect to access the facility without prior arrangement with one of the owners.

The Lessee shall be liable and responsible for any and all damage or injury to said premises or any person on property thereon during period of occupancy, and shall reimburse, indemnify, and save Grass Hollow Archery and/or Roy Heim fully harmless thereof.

The Lessee shall be liable and responsible for any and all damage or injury to said premises or any person on property thereon during period of occupancy, and shall reimburse, indemnify, and save Grass Hollow Archery and/or Roy Heim fully harmless thereof.

The Lessee shall be invoiced priot to the start and must pay before the beginning of each 7 week session/ half semseter via email to be provided by Penn State Schuylkill.

First Customers Name

First Name*

Middle Name

Last Name*

Phone*
First Customers Date of Birth*
First Customers Signature*
Second Customers Name

First Name*

Middle Name

Last Name*
Second Customers Date of Birth*
Third Customers Name

First Name*

Middle Name

Last Name*
Third Customers Date of Birth*
Fourth Customers Name

First Name*

Middle Name

Last Name*
Fourth Customers Date of Birth*
Fifth Customers Name

First Name*

Middle Name

Last Name*
Fifth Customers Date of Birth*
Sixth Customers Name

First Name*

Middle Name

Last Name*
Sixth Customers Date of Birth*
Seventh Customers Name

First Name*

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Seventh Customers Date of Birth*
Eighth Customers Name

First Name*

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Eighth Customers Date of Birth*
Ninth Customers Name

First Name*

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Ninth Customers Date of Birth*
Tenth Customers Name

First Name*

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Last Name*
Tenth Customers Date of Birth*
Customers Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
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State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Rental Date:

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Rental Times:

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Entity Representing: (Non-profit, business, company, ect)

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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