CONTACT INFORMATION
Renters Name Tribal Department Tribal ID Number
Street Address City State Zip Code
Work Phone Cell Phone Email
PURPOSE OF REQUEST
Event Name/Descripon # of Guests # of Tables # of Chairs
Date of Event Set-up Time
AM PM
Event Time
AM PM
End Time
AM PM
Addional Dates Start Time
AM PM
End Time
AM PM
FACILITY RENTAL TERMS
No overnight rental. Renter assumes responsibility for all equipment borrowed during your rental agreement,
including but not limited to: tables, chairs, mic, podium, and big screen.
As per Tribal Government Facility & Equipment Policies (II General Rules #5): User must agree that costs may be withheld
from the damage and cleaning deposit and any addional costs beyond the deposit amount may be deducted from the
renters per capita distribuons including, but limited to, replacement of items/equipment missing or broken, re-key
costs if key is not returned, unl the total costs of damage/replacement is sased.

• Maintenance Inspecon (both pares are required to sign o on walk-through).
• CSR – Reimbursement could take up to 14 business days to process – including a refund or cancellaon.

Custodial Sta will do a walk-through with renter before/aer event. Sta will open/close building according to me
renter placed on rental request. Sta will only wait an addional 30 minutes in case the renter is running late. Aer that,
renter will need to reschedule event for another date.
NOTE: The Tribal Gym is currently used for community gatherings. As such, there is a possibility that a funeral gathering or
other event, scheduled months in advance, may be rescheduled and conict with your event date. Upper management will
give as much advanced noce as possible for renter to move to another tribal rental facility or reschedule to another date.

This agreement may not be assigned or transferred, nor may the facilies be sublet or used by anyone other than the
renter. I have read and understand this agreement and the Tribes Building Use Policy, which by reference is a part of
this agreement. I agree to be bound by them.
Date Renters Signature
Req #:
Vendor #:
TDS-23250
Tulalip Tribes
6406 Marine Drive
Tulalip, WA 98271

Tulalip Tribes
Fax Number
360-716-0606

Equipment available: rectangle tables (70), round tables (6) –
folding chairs (600) – microphone and big screen
This building requires: $300 refundable security deposit
Clear Form
Print Form
Email Form
click to sign
signature
click to edit

(MUST HAVE BOTH PARTIES SIGNATURES)
AREA DESCRIPTION PASS FAIL NOTES
Restrooms
Trash
Sweep
Locker Rooms
Sinks & Counters
Trash
Sweep
Hallways Sweep
Lobby 1
Trash
Sweep
Lobby 2
Trash
Sweep
Gym 1
Bleachers
Sweep
Trash
Exterior Entryway
Trash
Sweep


DATE
AFTER
DATE
Custodial Signature Custodial Signature
Renters Signature Renters Signature
TDS-23250
Tulalip Tribes
6406 Marine Drive
Tulalip, WA 98271
Tulalip Tribes
Fax Number
360-716-0606

Equipment available: rectangle tables (70), round tables (6) –
folding chairs (600) – microphone and big screen
