Mary's River Grange

Philomath, Oregon

Marys River Grange Rental Agreement

Download a pdf version here.

Preferred Rental Date(s): __________________________
(Check in after 10 am and turn in keys before 8 am the following day.)

Today’s date:______________________

Brief Description of Event: ___________________________________________

Event start time:___________

Approximate number of people that will attend the event: _______________

Renter Name: _____________________________________________

Individual ___ Organization___

Phone: ___________________ Phone:____________________

Address: _____________________City______________State____Zip Code______

Email: _____________________________________________

Preferred Contact Method ___Phone or ___Email

Additional Contact

Name: __________________

Phone: __________________

Email: __________________

Rental Fee and Security Deposit

$250 per day (nonrefundable)

____check with check #____ or ____cash paid on ______(date)

$300 refundable security deposit

____check with check #____ or ____cash paid on ______(date)

Please make checks payable to “Marys River Grange”. There will be a $30 fee for all returned checks.

I _____________(name of renter) have read and agree with the Marys River Grange Hall Rental
Agreement and Alcohol Use Agreement

Signature of the Renter: __________________________ Date: __________

Please remember, Marys River Grange is a non-profit organization run by volunteers. Please be
respectful, responsible, and safe.

Cleaning and Closing Procedure

Renter: _________________________

Date of use: ______________________

____ Bathrooms: check to make sure all water and lights are turned off

____ Garbage: collected, put in the large trash can outside

____ Floors: swept with push rag broom

____ Kitchen: make sure stove and oven are off, empty refrigerator, wipe counters

____ Tables and chairs: returned to storage area. Please do not drag anything on the floor.

____ Lights: turned off

____ Doors: locked

____Outside Gate: closed

____ Key: dropped in drop box in entryway before 8 am

Please be kind and clean anything you see that needs to be cleaned.

Alcohol Use Agreement

___No alcohol will be served or consumed.

I _________________ (name of renter) declare that there will be no alcohol consumed during the event on __________________(date). I will not serve alcohol, and I will make sure none of my guests and participants of the event will serve and/or consume alcohol on the premises of Marys River Grange.

Signature of the Renter ________________________ Date ___________

___Alcohol will be served.

If you wish to serve alcohol during the event you MUST abide by the following:

You must use a LICENSED and INSURED company (caterer, winery, brewery, etc.) to serve the alcohol. An individual with an alcohol server’s license does NOT meet this requirement.
Mary’s River Grange must approve that company.
The serving company must name Mary’s River Grange #685 as additional insured for the day(s) of the event on their liability insurance of no less than $1,000,000.00. You must submit a copy of that certificate.
You must submit a copy of the servers OLCC license.
Sufficient food and non-alcoholic beverages must also be served.
Marys River Grange reserves the right to end alcohol service and/or the event at any time if alcohol consumption exceeds responsible usage.

The following companies are willing to serve alcohol at the Marys River Grange Hall. These are suggestions and not a complete list of local licensed and insured companies. The renter is free to contract service from any company that meets the above requirements. It is the renter’s responsibility to contact and schedule alcohol service.

Squirrel’s Tavern
541-753-8057
Squirrel@peak.org Attn: Greg Little

Tyee Winery
(541) 753-8754

2 Towns Ciderhouse
Aaron (541) 357-8301
Aaron@2TownsCiderhouse.com

El Sol de Mexico
Bernardo 541-730-1355

Signature of the Renter ____________________________
Date _________