Smithville MO

Annual Meeting Tuesday 1/20/09

Make your Shelter reservation here
 

To reserve the shelter, please print this form, fill it out completely, and mail with your
deposit check to:  HHOA PO Box 108 Smithville, MO 64089

RESERVATION REQUEST FORM

Date Reservation Received: __________ Reservation Date: ___________


Cash Deposit Received: $____________ Date Deposit Received: ________


Cash Deposit Refunded: $____________ Date Deposit Refunded: _______

Name: _____________________________________________________________________


Address:____________________________________________________________________

Phone Number:______________________________________________________________

Type of Activity:___________________________________________________________

_________________________________________________________________________

 Number of Guests Expected: _____________________________________

Reservations will not be confirmed until the deposit payment has been received.

I have read the rules for the shelter house usage and agree to them. I will receive a refund if there are no damages, nothing broken and nothing missing and if the shelter and shelter area is left clean and neat. I understand that if the cost to repair damages to the shelter or to replace missing items exceeds my deposit, I may be assessed for the costs to repair and/or replace the damage or missing items.

Signature: ___________________________________                   Date: _____________

Post event condition of shelter and surrounding greenspace: