LY
Deerfield Hills Community Center
RESERVATION
REQUEST
Responsible Party: Organization:
Address: City: State: Zip:
Telephone(s): Email Address:
Description of Proposed
Activity/Event:
Anticipated
Attendance:
Date Requested: Time Requested:
Please Note: Rental time must include time needed to set-up and clean-up event. There are no early arrivals or late departures. Any time used outside
the stated rental hours will be billed at $100/hour. Invoice will be sent to responsible party as indicated, and if total amount is not paid within 30 days,
invoice will be sent to a collection agency.
Check room(s) you wish to utilize:
Multi-Purpose (max capacity 65) Community Room (max capacity 40)
Equipment Requested:
Tables
#
Chairs
#
FACILITY
RENTAL
TYPE
RATE
PER HOUR
Either diagram set-up for areas of requested space(s)
Or thoroughly explain area set-up below
DHCC-rooms Non-Profit (501c3) $50
DHCC-rooms General Public $50
DHCC-rooms Commercial $60
• Proof of not-for-profit status is required
• Requests are honored on a first-come; first-serve basis
• Deposit of one half of the rental fee is due immediately upon
receipt of invoice; the second half is due 7 days before event.
• No refunds will be issued for rentals
• We accept cash, check and money orders and debit/credit
cards as payment
• $20 NSF fee will be charged for all returned checks
• Reservations are only confirmed when a signed rental
agreement has been submitted and full payment has been
received
• Furnish own supplies and all other items necessary to
conduct your event
• NO Alcoholic Beverages Allowed
• No rentals past 10:00 pm
Management will notify you if you are required to hire a security company to supervise your event.
SIGNATURE OF RENTER
DATE
Deerfield Hills Community Center · 4290 Deerfield Hills Road · Colorado Springs, CO 80916
P: (719) 385-5996 · F: (719) 385-6853 · www.coloradosprings.gov/Deerfield Revised 1/2020
click to sign
signature
click to edit
![]()
