Mirrormont Country Club
Rental Documents
Please complete and sign Rental Agreement and Pool Rental Consent Form* **only required if you are renting the pool.
All forms, payments and deposits (2 SEPARATE CHECKS ) must be provided, prior to rental, to Amy Summers
Failure to adhere to the Rental Policy shall result in review by the Board of Trustees and the member may be subject to loss of rental privileges .
Club Reservation Date:________________________
I am a member in good standing, have read and understand the Rental Policy and agree to abide by the rules. I understand that failure to adhere to the rules shall result in review by the board of trustees and may result in the loss of rental privileges:
Activity Room Reserved from: ______ to ______ = _____ * hrs @ $5.00 = $ ________ ** (*2 hour minimum, rounded up to the nearest hour and must include set up and clean-up time)
** If pool use is added a flat fee of $50.00 (in place of hourly fee) applies = $ _________ Tennis Court Added from: ______ to ______ = _____ hrs @ $5.00 = $ _________
Total Fee for Reservation: $ _________
A $50.00 security deposit must accompany the rental payment ( separate check please .) This fee will be returned after the rental provided that the facility is found in good order and has been cleaned in accordance with the rental-clean up checklist. Any cleaning or security fees in excess of the deposit amount shall be attached to the renting member’s billing statement. Checks should be made payable to MCC or Mirrormont Country Club .
Total Number of Guests: Adults: ______ Children: ________
Pool Use? Yes [ ] No [ ]
If yes , please also complete and sign the Consent Form for Pool Use
Will More than 5 Children under 18 be swimming? Yes [ ] No [ ]
If Yes, please note rental policy regarding Lifeguards
Purpose of Party (B-day, Anniversary, etc.):____________________________________
Please complete and sign this form in its entirety. If renting the pool, you must also complete and sign the Consent Form for Pool Rental.
By signing below, you are acknowledging that you have read the MCC Rental Policy and agree to abide by the rules set forth in the MCC Rental Policy. Failure to adhere to the Rental Policy shall result in review by the Board of Trustees and the member may be subject to loss of rental privileges.
If you have any questions please contact Amy Summers, Rental Trustee 425-391-0088
Mirrormont Country Club Pool Rental Consent Form
This consent and waiver (“Consent”) is made and executed as of the ____ day of _____________, 20____, by the undersigned Member(s). Member’s written acceptance of the terms of this consent is a condition imposed by the Mirrormont Country Club Board of Trustees and it’s Members (“MCC”). Member acknowledges and agrees as follows:
1. Member has read the MCC rules and agrees to abide by them.
2. Member understands that the Swimming Pool is hazardous to those persons who have not been trained to swim, or whose physical or mental condition renders them unable to swim capably at all times.
3. Member will also be present when member’s guests are using or occupying the swimming pool.
4. Member will provide a deep water certified lifeguard for any swimmers age 18 and younger. Member will provide a copy of the lifeguard’s current certification to the Assistant Pool Trustee.
5. When renting the pool and club, the renting member understands that the MCC DOES NOT PROVIDE A LIFEGUARD ON DUTY AT THE SWIMMING POOL , and that all Users (including children) are SWIMMING AT THEIR OWN RISK . Member ASSUMES THE RISK , for himself/herself and all of his/her guests.
6. Member executes this Consent on his/her own behalf and on behalf of his/her estate, heirs, executors, administrators, representatives and assigns, and on behalf of Owner's family (including children), guests, and tenants. This Consent is intended for the benefit of the MCC, its board of Trustees, Directors and Officers and other Members and successors. Member expressly agrees that this consent is intended to be as broad and inclusive as permitted by the laws of the State of Washington and that, if any portion of this Consent is held invalid, the balance shall; notwithstanding, continue in full legal force and effect.
Member has carefully read this consent, knows and understands the content of this consent, and member signs this consent as member’s own free act and in doing so agrees to fully abide and comply with every requirement of this consent.
Date: _________________ ____________________________________________________
(if not known at this time, this can be completed by Rental Trustee after Renting Member has confirmed their lifeguard and provided the name to the Rental Trustee)
Rental Clean Up Check List INSIDE: __
decorations down - all staples, tape, pins & nails removed
empty garbage outside to big bins near shed
trash can liners replaced
scour sink with barkeepers friend and wipe dry
wash down all counter tops
clean stove tops, wipe oven spills
wash all dishes, trays, glassware if used
run dishwasher and EMPTY*
clean inside microwave if used
sweep kitchen floor
wet mop kitchen floor
sweep flagstone floors
vacuum carpeted areas
sweep bathroom floors
remove all food from refrigerator & freezer (no ice please!)
clean all table surfaces used
fold and stack all tables (wall next to exit to tennis courts)
stack chairs (4 per stack) and place along non-windowed walls
launder all table linens and re-hang in store rooms*
*check with rental trustee-dishwasher should be emptied and linens replaced by following day, however if another rental is scheduled directly after yours then you may be required to complete this on the same day as your rental.
remove any signs or balloons used for direction to clubhouse
pick up all toys in pool area
umbrellas back in down position
table tops cleaned
patio chairs arranged neatly (off of grass area)
BBQ grill cleaned
NOTE: The cleanup procedure should be completed immediately following the rental. The facility will be inspected by the next day by the rental trustee. If any further cleanup is required you will be notified and given an opportunity to complete it within a timeframe set by the rental trustee.
Rental Party: __________________________________ Rental Date : __________
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