Form Center

Search Forms:

Search Forms Select a Category

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Community Center Rental Agreement

Steps

1. Step One This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete

Step One

Virginia Run Community Association (VRCA) Community Center Rental Policy
15355 Wetherburn Court
Centreville, VA 20120
Phone Number: 703-815-1136
Fax Number: 703-815-1204
After Hours (Emergency Only): 703-230-2240

Community Center Rental Agreement
Name
Address
City
State
Zip Code
Phone: (Daytime)
Phone: (Evening)
Name of Community Sponsor (if different):
Address
City
State
Zip Code
Phone: (Daytime)
Phone: (Evening)
Date of Rental
Date of Rental
Purpose of Rental
Start Time (to include set-up)
Start Time (to include set-up)
Departure Time (to include clean-up)
Departure Time (to include clean-up)
Deposit and Fee Amount
Date Received
Date Received
Check Number
Signature of Lessee or Community Sponsor (Sign After Printing)
Signature of Management Representative (Sign After Printing)
Continue

Step Two

Community Center Access Code Number (Assigned By Office)
Fees & Payments
Applicant/lessee or community sponsor shall be responsible for all costs incurred by the Association relating to damages, repairs, clean up or other work attributed to the applicant/lessee or community sponsor’s use of the facility. Payments for rent or other fees shall be due within 30 days of notification by the Virginia Run Community Association.

I, the undersigned Virginia Run resident, have read these rules and regulations and agree to abide by them both on my behalf and on behalf of my guests. I fully understand that I am liable for any damages caused by me or my guests on said premises. Further, in consideration of the rights and obligations hereunder, I agree to release the VRCA from any and all liability and/or claims arising out of the rental of the community center. This release binds not only myself but my spouse, heirs, representatives, invitees, guests and legal assigns.

I shall be fully liable for, and hereby indemnify and agree to hold harmless the Association, its Board of Trustees, agents and lot owners from any and all injury, damages, causes of actions, claims or obligation, including costs and reasonable attorney fees, arising out of or related to any acts, omissions, negligence, willful conduct or breaches on the part of myself to my guests, agents or employees.
Agreement
This agreement is for the rental of the Virginia Run Community Center (PDF). Rental space only includes the main level common room, the reception area, the balcony, the kitchen and restrooms, and the parking facility during the hours set forth above. (Please be advised that during the summer months ample parking may not be available during pool hours.)

Community Center Access

It is the responsibility of the applicant/lessee or community sponsor to have the prox card issued to him/her to gain access to the Community Center. After the event is concluded, the prox card must be placed in the mail slot on the right front door of the Community Center.

Refund/Cancellations

If the applicant/lessee or community sponsor cancels the rental agreement seven days prior to the event, the $250 rental fee will be returned.
Applicant/Lessee’s Signature (Sign After Printing)
Date
Date
Community Sponsor’s Signature (if applicable)
Date
Date
Manager’s Signature (Sign After Printing)
Date
Date

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit Submit and Print | Go Back

Form Center

Search Forms:

Community Center Rental Agreement

Steps

Step One

Community Center Rental Agreement

Step Two

Fees & Payments

Agreement

Community Center Access

Refund/Cancellations

Contact Us

Quick Links

Site Links