Account/Organization Name:________________________________________________________________________
Address:____________________________________City:____________________ State:_______ Zip:_____________
Billing Contact Name:______________________________________ Phone: ( ) _________________________
Email:__________________________________________________________________________________________
Rental Date(s):________________________________________________________Time: ______________________
(Ongoing rental - see attached schedule)
Waiver:
The User personally assumes all risks of accident or damage to its property and to the person and
property of its members, or third persons, sustained during the above rental periods and waive any right to
make claims or bring lawsuits against the City or anyone working on behalf of the City for any injuries or
damages related to the alleged negligence of the City.
It is understood that the City reserves the right (1) to immediately and without notice cancel this
agreement for any default by the undersigned in the terms of this agreement, and (2) to reschedule the dates
to times of permitted use of said facilities, for reasonable cause, on five day notice to the User.
The City shall not be held responsible for the cancellation of ice time for reason beyond the control of the
city, its agents or employees, such as but not limited to equipment failure, loss of power or severe weather. In
the event of such an occurrence, the Arena Manager will attempt to reschedule the organization’s rental times
or the organization may cancel and receive a return of its deposit.
Payment and Deposit:
The User agrees to pay the City for the rental of ice at Coon Rapids Ice Center for the above rental
periods. A deposit may be required at the time of reservation. FAILURE TO APPEAR OR CANCELLATION OF
ICE TIME LESS THAN 14 DAYS PRIOR TO SCHEDULED ICE TIME SHALL RESULT IN FORFEITURE OF
DEPOSIT FOR SCHEDULED DATE. Remaining balances are due the day of the reservation and can be paid
at the front desk unless other arrangements have been made.
Damages
The User assumes responsibility for any damages caused by Renter or its members to equipment,
furniture, or the building.
USER:
Signature ______________________________________________ Date__________________
Printed Name ___________________________________________
Date Received Received By Hourly Rental Rate $ ___________Deposit Paid $______________
_____/_____/____ _______ Cash______ Check______ CC_______ Balance Due $______________
Ice Rental Form
11000 Crooked Lake Blvd. NW
Coon Rapids, MN 55433
763-951-7222
www.coonrapidsicecenter.com
