DATE REQUESTED: ____________DAY OF WEEK: ________________ ROCK SCHOOL CLASSROOM APPLICATION Community Affairs Department P.O. Box 339 Valdese, NC 28690 Phone: (828) 879-2129 www.visitvaldese.com Fax: (828) 874-2311 NAME OF ORGANIZATION OR GROUP: ___________________________________________________________________________ CONTACT: ________________________________________________PHONE:______________________________________________ ADDRESS: _________________________________________________________CITY: _________________________ ZIP: _________________ CELL PHONE: ____________________________ SETUP TIME: __________________________________ STATE: _____ EMAIL: ______________________________________ FINISH TIME: ______________________ EXPECTED NUMBER OF PEOPLE: Briefly describe the table and chair setup (Diagram on back) : Available Rooms 119, 137, 138, 139 _____________________________________ RM 119, 137,139 (24 with tables & chairs 52 chairs only) RM 138 (23 with tables & chairs 49chairs only) Will alcohol be served/sold? Yes No (If yes, a separate application must be submitted) Decorating & Setup the day before is based on availability. If available there is a fee of $25 RENTAL FEES $35.00 ---- During Regular Hours Monday-Friday 8am-5pm $50.00 ---- After Hours $30.00 ---- Burke County Schools TOTAL DUE FOR RENTAL: _____________________________ DATE OF CONTRACT: __________________________ TAKEN BY: ____________________________ CANCELLATION POLICY 20% Deposit is due to secure day of rental and is NON-REFUNDABLE under any circumstances Full amount is NON-REFUNDABLE after 1 week prior to event The Town of Valdese and the Old Rock School reserve the right to cancel and to void this contract if the deposit is not paid by the proper time. All users of the Rock School Auditorium are subject to the rules set by the Community Affairs Department and the Town of Valdese. TOTAL DUE FOR RENTAL: DEPOSIT PAID FOR RENTAL: PAID IN FULL (STAMP HERE): **IF ALARM SOUNDS PLEASE EVACUATE THE BUILDING IMMEDIATELY** By signing below the applicant agrees to all guidelines listed in the Old Rock School Usage Policy _________________________________________________________________________________