KEYFOB ACQUISITION AGREEMENT All keys to the Cheverly Community Center are the property of the Town of Cheverly and must be returned to the Town upon demand. Organization Name: * Contact Name: * Address: * Primary Telephone: * E-mail Address * I hereby agree NOT TO LOAD OR DUPLICATE the keyfob provided to me by the Town of Cheverly for access to the Cheverly Community Center. As duly authorized by the above named organization to accept this keyfob, I assume full responsibility for opening and closing the building for that group’s sponsored events, when a town staff member is not present. I also understand that I may not use this keyfob to access the Community Center building for my own personal use, and that violation of this agreement will result in the repossession of the keyfob by the Town of Cheverly. I understand that I MUST report the keyfob as lost or stolen within 24 hours. There is a $10.00 keyfob replacement fee which can be made payable to The Town of Cheverly. Initial Here to Acknowledge: * Reservation Details Requested Venue: * Gymnasium Large Conference Room Kitchen Reservation Day: * Monday Tuesday Wednesday Thursday Friday Saturday Time (Start): * Hour Hour9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm11 pm12 am : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Time (Finish): * Hour Hour8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm11 pm12 am : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Begin Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025 End Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025 Is there a copy of your organizations liability insurance on file in the Town office? * Yes No Initial Here to Acknowledge: * PLEASE REMEMBER: AS A CHEVERLY RESIDENT, THIS IS YOUR COMMUNITY CENTER. YOUR TAX DOLLARS BUILT IT AND MAINTAIN IT. PLEASE TAKE CARE OF IT AND LOOK AFTER IT AS YOU WOULD ANY OF YOUR OTHER VALUABLE POSSESIONS. BE RESPONIBLE, BE A LEADER. IF YOU SEE SOMEONE ABYSING THE BUILDING OR GROUNDS, PLEASE NOTIFY STAFF TALK TO YOUR ORGANIZATION, TEAM OR COMMITTEE. IMPRESS UPON THEM AS WELL THE NEED TO RESPECT AND LOOK AFTER THE BUILDING. ENJOY THE COMMUNITY CENTER! Please note you will need to come into the office to sign the document. Date: ___________ Signature: __________________________________________________________ Leave this field blank