One-Day Rental Application – Page 1

Reference/Contract #___2025_____

Los Alamos Valley Men's Club
429 Leslie Street / P.O. Box 13
Los Alamos, CA 93440 | Email: [email protected]

Name Email Street Address City State Zip Phone CA Driver License#/ ID Card# Other ID Over 21 Yes No Alternate Contact Phone Start Time End Time Type of Event Date(s) Days of Week Friday Night Saturday Sunday Weekday (Sun–Thurs)

One-Day Rental Agreement – Page 2

Tenant Name Tenant Phone Tenant Address City Email Event Date Start Time End Time Event Name Number of Guests

Agreement Terms Continued – Page 3

Is Smoking Allowed Indoors? No Will Alcohol be Served? Yes No Security Contract Provided? Yes No Decorations Approved? Yes No Pets Allowed? No Yes, with prior written approval

Agreement Terms Continued – Page 4

Will the Kitchen Be Used? Yes No Insurance Policy Information Certification Signature (Type Full Name) Date

Hall Cleanup Guidelines – Page 5

1. Clean and store tables/chairs as described.
2. Sweep and mop dance floor (water only).
3. Clean restrooms and kitchen.
4. Remove all trash to dumpster, replace liners.
5. Remove all decorations.
6. Turn off lights, fans, water, heat.
7. Lock all doors and windows.
8. Notify Building Steward of issues.

Tenant Signature (Type Full Name) Date