Facility Rental Agreement Facility Rental Agreement Date of Request * Main Stay Coordinator Leave blank, will be determined Company * Contact Person Address Address Address Address Address Address Address Address Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone * Email * Dates Room Requested * Hours * Number of Attendees * Room Requested * Horsepower Paddock 1 Paddock 1, 2 Paddock 1, 2, 3 Set Up * Chairs Only Classroom style Chevron Other (please describe)Other (please describe) Meeting Space * Small Meeting Space (Max 15 People) Medium Meeting Space (16-40 People) Large Meeting Space (41-100 people) Small Meeting Space Rate * Non-profit rate, 4 hours or less $75 Non-profit rate, more than 4 hours $125 For profit rate, 4 hours or less $125 For profit rate, more than 4 hours $200 Medium Meeting Space Rate * Non-profit rate, 4 hours or less $175 Non-profit rate, more than 4 hours $300 For profit rate, 4 hours or less $300 For profit rate, more than 4 hours $500 Large Meeting Space Rate * Non-profit rate, 4 hours or less $250 Non-profit rate, more than 4 hours $400 For profit rate, 4 hours or less $400 For profit rate, more than 4 hours $700 Audio Visual Needs * *A/V package (Internet access, projector & screen) $150 *Flip Chart/White Board $25 *Rates are subject to change without notice A 50% deposit and a signed contract are required to reserve your space. Final balance is due prior to or the day of your event. Your deposit is refundable if cancellation notice is given at least 10 business days before your reserved date. Total Deposit Balance Due Compliance with Policies and Procedures: Groups and individuals who use the meeting rooms are guests of Main Stay and use of the space should reflect that understanding. You agree to comply with all applicable rules and policies as stated below. Tours/facility access: Tours of the Main Stay facility are not included in the rental agreement. Due to safety/liability issues, the renter and guests of the renter shall only occupy the rooms they have rented, with exception of the entrance area, main hallways and designated restrooms. If you would like to schedule a tour during your visit please contact the office during normal business hours. Personal Property: Main Stay will not assume responsibility or liability for personal property and equipment brought onto or left on the property. Smoking: Main Stay is a non-smoking facility, including the parking lot and grounds. Please limit smoking to inside of your personal vehicle. Food: May be brought in or catered at the renter’s expense. Please dispose of or remove any leftovers. Candles: Only flameless candles please; no open flames allowed. Alcohol: An approval in advance is necessary if you plan on bringing in alcohol of any kind. Clean-up: Please leave the room in the condition in which you found it. • Chairs and tables straightened and returned to original position • All trash and recyclables should be placed in appropriate bins • Main Stay staff will remove the trash and recycling after your event Liability Release & Indemnification: I (the renter) hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, and on behalf of any organization and/or member(s) thereof on whose behalf I have signed this Agreement, do hereby waive and release forever all claims for damages against Main Stay Therapeutic Farm, Inc., its Board of Directors, instructors, therapists, aides, volunteers and/or employees for any and all injuries and/or losses that I and/or any of the aforesaid may sustain while participating in a Main Stay Therapeutic Farm, Inc. program and do hereby further agree to indemnify and defend Main Stay Therapeutic Farm, Inc., its Board of Directors, instructors, therapists, aides, volunteers and/or employees, from and against any loss sustained by or threatened against them in consequence of any such claim being made. I, the undersigned, hereby acknowledge that I have read and understand the terms of this agreement and will comply with all applicable rules, policies and procedures as determined by Main Stay Therapeutic Farm. Renter Signature * Clear reCAPTCHA If you are human, leave this field blank. Submit Our TeamFacility RentalAnnual Appeal