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<!DOCTYPE html>
<html>
<head lang="en">
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<link href="/css/styles.css" rel="stylesheet" media="all">
<link href="/css/carousel.css" rel="stylesheet" media="all">
<title>Litchfield Community Centre</title>
<script src="/js/vendors/jquery-2.1.1.min.js"></script>
<script src="/js/vendors/carousel.js"></script>
<script src="/js/script.js"></script>
</head>
<body>
<div class="container">
<div class="donate-role">
<section class="donate-role__role hide js-role-block">
<figure class="donate-role__role__logo clearfix">
<span></span>
<figcaption>The Litchfield Community Center is a non-profit organization serving Litchfield
and the surrounding communities of Connecticut since 2000, offering
daily creative, intellectual and recreational programs for all ages. Residents
and non-residents are welcome to join us.
</figcaption>
</figure>
<section class="donate-role__role__articles clearfix">
<article>
<figure>
<img src="/images/news_common1.jpg"/>
<figcaption>
Mission<br/>
& Values
</figcaption>
</figure>
<p>We seek to reflect the interests<br/> and needs of our community. </p>
</article>
<article>
<figure>
<img src="/images/news_common2.jpg"/>
<figcaption>
Meet our<br/>
Staff
</figcaption>
</figure>
<p>Meet the members of our dedicated LCC team.</p>
</article>
<article>
<figure>
<img src="/images/news_common3.jpg"/>
<figcaption>
Thanks to<br/>
Sunny
</figcaption>
</figure>
<p>Learn about the legacy of our greatest benefactor, Sunny Seherr-Thoss.</p>
</article>
<article>
<figure>
<img src="/images/news_common1.jpg"/>
<figcaption>
Board of<br/>
Directors
</figcaption>
</figure>
<p>Our Board is devoted to the vitality of LCC. Read a message from our President.</p>
</article>
</section>
<a href="#"><p class="donate-role__role__irs">Governing Documents, Budget and IRS 990 Form</p></a>
<a href="#"><p class="donate-role__role__2014Newsletter">Download the 2014 Newsletter</p></a>
</section>
<section class="donate-role__donate clearfix hide js-donate-block">
<section class="carousel slide donate-role__donate__slider">
<ul class="carousel-inner">
<li class="donate-role__donate__matter item active">
<section class="donate-role__donate__matter__header clearfix">
LCC is a non-profit organization that receives no funds from the Town of Litchfield's annual budget. <b>We rely on the contributions and support of you,</b> the community and private foundations to fulfill our mission daily. Thank You!
</section>
<section class="donate-role__donate__matter__left clearfix">
<img class="circle" src="/images/circle.png">
<div class="donate-role__donate__matter__left__quiestion1Triangle"></div>
<section class="donate-role__donate__matter__left__quiestion1 clearfix">
55% of our funding comes from the community...
</section>
<div class="donate-role__donate__matter__left__quiestion2Triangle"></div>
<section class="donate-role__donate__matter__left__quiestion2 clearfix">
Annual Appeal<br>
Grants<br>
Program Revenue<br>
Facility Rentals<br>
Fundraising Events
</section>
<div class="donate-role__donate__matter__left__quiestion3Triangle"></div>
<section class="donate-role__donate__matter__left__quiestion3 clearfix">
45% of our funding comes from an endowment
</section>
</section>
<section class="donate-role__donate__matter__right clearfix">
<section class="donate-role__donate__matter__right__year clearfix">
2014:
</section>
<section class="donate-role__donate__matter__right__green3 clearfix">
<img class="3green" src="/images/3green.svg">
<div class="bracket">
-{
</div>
<div class="text">
1,500 attended<br>
youth programs
</div>
</section>
<section class="donate-role__donate__matter__right__orange6 clearfix">
<img class="6orange" src="/images/6orange.svg">
<div class="bracket">
-{
</div>
<div class="text">
3000 adults<br>
attended<br>
programs
</div>
</section>
<section class="donate-role__donate__matter__right__different4 clearfix">
<img class="different" src="/images/different.svg">
<div class="bracket">
-{
</div>
<div class="text">
over 2,000 people<br>
attended more than<br>
1,500 FREE programs
</div>
</section>
</section>
</li>
<li class="donate-role__donate__matter item">
<section class="donate-role__donate__matter__header clearfix">
LCC is a non-profit organization that receives no funds from the Town of Litchfield's annual budget. <b>We rely on the contributions and support of you,</b> the community and private foundations to fulfill our mission daily. Thank You!
</section>
<section class="donate-role__donate__matter__left clearfix">
<img class="circle" src="/images/circle.png">
<div class="donate-role__donate__matter__left__quiestion1Triangle"></div>
<section class="donate-role__donate__matter__left__quiestion1 clearfix">
55% of our funding comes from the community...
</section>
<div class="donate-role__donate__matter__left__quiestion2Triangle"></div>
<section class="donate-role__donate__matter__left__quiestion2 clearfix">
Annual Appeal<br>
Grants<br>
Program Revenue<br>
Facility Rentals<br>
Fundraising Events
</section>
<div class="donate-role__donate__matter__left__quiestion3Triangle"></div>
<section class="donate-role__donate__matter__left__quiestion3 clearfix">
45% of our funding comes from an endowment
</section>
</section>
<section class="donate-role__donate__matter__right clearfix">
<section class="donate-role__donate__matter__right__year clearfix">
2014:
</section>
<section class="donate-role__donate__matter__right__green3 clearfix">
<img class="3green" src="/images/3green.svg">
<div class="bracket">
-{
</div>
<div class="text">
1,500 attended<br>
youth programs
</div>
</section>
<section class="donate-role__donate__matter__right__orange6 clearfix">
<img class="6orange" src="/images/6orange.svg">
<div class="bracket">
-{
</div>
<div class="text">
3000 adults<br>
attended<br>
programs
</div>
</section>
<section class="donate-role__donate__matter__right__different4 clearfix">
<img class="different" src="/images/different.svg">
<div class="bracket">
-{
</div>
<div class="text">
over 2,000 people<br>
attended more than<br>
1,500 FREE programs
</div>
</section>
</section>
</li>
</ul>
</section>
<section class="donate-role__donate__now">
<h1>your donations matter:</h1>
<p class="donate-role__donate__now__view">View a list of current donors.</p>
<h4 class="donate-role__donate__now__thank">THANK YOU to our community<br/> of donors.</h4>
<p class="donate-role__donate__now__learnMore">Learn more</p>
<h4 class="donate-role__donate__now__estate">Consider LCC in your<br/> estate planing</h4>
<a href="#" class="donate-role__donate__now__btn">DONATE NOW</a>
<p class="donate-role__donate__now__time">Our 2013/2014 Annual Appeal is<br/> ongoing at this time.</p>
</section>
</section>
<div class="clearfix">
<menu>
<li class="donate-role__menu__role js-role-tab">About Us</li>
<li class="donate-role__menu__donate js-donate-tab">Donate</li>
</menu>
</div>
</div>
<header class="header clearfix">
<section class="header__logo">
<a href="">
<span>Litchfield</span><br/>
Community<br/>
Center
</a>
</section>
<section class="header__social">
<a href="" class="social-icon social__fb"></a>
<a href="" class="social-icon social__inst"></a>
<a href="" class="social-icon social__u-tube"></a>
</section>
<menu class="header__menu">
<li>
<a href="#">LOG IN</a>
</li>
<li>
<a href="#">MY ACCOUNT</a>
</li>
</menu>
<div class="header__bg"></div>
</header>
<nav class="clearfix">
<menu>
<li>
<a href="#">
calendar
</a>
</li>
<li>
<a href="#">
plan <span>an</span> event
</a>
</li>
<li>
<a href="#">
contact
</a>
</li>
<li>
<a href="#">
news
</a>
</li>
</menu>
</nav>
<main class="facilityForm">
<header class="clearfix">
<section class="facilityForm__header">
<h1>Facility Use Form</h1>
</section>
</header>
<div class="facilityForm__subheader">
<p>GRANTING OF PERMISSION TO USE THE COMMUNITY CENTER FACILITIES DOES NOT IN ANY WAY CONSTITUTE AN
ENDORSEMENT OF AN INDIVIDUAL’S OR GROUP’S PARTICULAR BELIEFS OR PURPOSES BY THE LITCHFIELD COMMUNITY
CENTER, INC. BOARD OF DIRECTORS, STAFF OR ANY AFFILIATE OF THE ORGANIZATION.</p>
<br>
<p>For consideration of requests for use of the Center, this form must be completed in its entirety and returned to the
Director as soon as possible. An invoice for payment will be presented to the host with an approved use form. All
payments shall be received at least 10 business days before the event unless otherwise noted in invoice. All checks
are payable to <i>The Litchfield Community Center, Inc.</i>
</p>
<br>
</div>
<form class="facilityForm__form">
<div class="facilityForm__form__renterInformation">
<b>Renter Information</b><hr>
<div class="organization inputForm">
<label for="organization">Organization</label>
<input type="text" name="organization" id="organization">
</div>
<div class="firstName inputForm">
<label for="firstName">First Name</label>
<input type="text" name="firstName" id="firstName">
</div>
<div class="lastName inputForm">
<label for="lastName">Last Name</label>
<input type="text" name="lastName" id="lastName">
</div>
<div class="renterEmail inputForm">
<label for="renterEmail">Email</label>
<input type="text" name="renterEmail" id="renterEmail">
</div>
<div class="mailingAddress inputForm">
<label for="mailingAddress">Mailing Address</label>
<input type="text" name="mailingAddress" id="mailingAddress">
</div>
<div class="city inputForm">
<label for="city">City</label>
<input type="text" name="city" id="city">
</div>
<div class="state inputForm">
<label for="state">State</label>
<input type="text" name="state" id="state">
</div>
<div class="zip inputForm">
<label for="zip">Zip</label>
<input type="text" name="zip" id="zip">
</div>
<div class="cellhomephone inputForm">
<label for="cellhomephone">Cell/Home Phone</label>
<input type="text" name="cellhomephone" id="cellhomephone">
</div>
<div class="businessphone inputForm">
<label for="businessphone">Business Phone</label>
<input type="text" name="businessphone" id="businessphone">
</div>
<div class="fax inputForm">
<label for="fax">Fax</label>
<input type="text" name="fax" id="fax">
</div>
</div>
<div class="facilityForm__form__eventInformation">
<b>Event Information</b><hr>
<div class="dayanddaterequested inputForm">
<label for="dayanddaterequested">Day & Date Requested</label>
<input type="text" name="dayanddaterequested" id="dayanddaterequested">
</div>
<div class="secondchoice inputForm">
<label for="secondchoice">Second Choice</label>
<input type="text" name="secondchoice" id="secondchoice">
</div>
<div class="starttime inputForm">
<label for="starttime">Start Time (*including set-up*)</label>
<input type="text" name="starttime" id="starttime">
</div>
<div class="endtime inputForm">
<label for="endtime">End Time (*including clean-up*)</label>
<input type="text" name="endtime" id="endtime">
</div>
<div class="totalhours inputForm">
<label for="totalhours">Total Hours</label>
<input type="text" name="totalhours" id="totalhours">
</div>
<div class="typeofevent inputForm">
<label for="typeofevent">Type of Event</label>
<input type="text" name="typeofevent" id="typeofevent">
</div>
<div class="totalexpectedattendance inputForm">
<label>Total Expected Attendance</label>
<input type="text" name="totalexpectedattendance" id="totalexpectedattendance">
</div>
<div class="requestForRentalOf">
<h3>Request For Rental Of:</h3>
<div class="lounge checkboxForm">
<input type="checkbox" name="lounge" id="lounge"><label for="lounge">Lounge</label>
</div>
<div class="atrium checkboxForm">
<input type="checkbox" name="atrium" id="atrium"><label for="atrium">Atrium</label>
</div>
<div class="recreationArea checkboxForm">
<input type="checkbox" name="recreationArea" id="recreationArea"><label for="recreationArea">Recreation Area</label>
</div>
<div class="kitchen checkboxForm">
<input type="checkbox" name="kitchen" id="kitchen"><label for="kitchen">Kitchen</label>
</div>
<div class="learningCtr checkboxForm">
<input type="checkbox" name="learningCtr" id="learningCtr"><label for="learningCtr">Learning Ctr</label>
</div>
<div class="communityRoom checkboxForm">
<input type="checkbox" name="communityRoom" id="communityRoom"><label for="communityRoom">Community Room</label>
</div>
<div class="entireFacility checkboxForm">
<input type="checkbox" name="entireFacility" id="entireFacility"><label for="entireFacility">Entire Facility</label>
</div>
<div class="feesQuestion questionYesNo radioForm">
<label>Are you charging fees for any aspect of your activity?</label> <input type="radio" name="feesQuestion" id="feesQuestionYes" value="yes"><label for="feesQuestionYes">Yes</label><input type="radio" name="feesQuestion" id="feesQuestionNo" value="no"><label for="feesQuestionNo">No</label>
</div>
<div class="ifYesExplain inputForm">
<label>If Yes, please explain</label>
<input type="text" name="ifYesExplain inputForm" id="ifYesExplain inputForm">
</div>
</div>
</div>
<div class="facilityForm__form__food">
<b>Food</b><hr>
<div class="intendToServeFood questionYesNo radioForm">
<label>Do you intend to serve food?</label> <input type="radio" name="intendToServeFood" id="intendToServeFoodYes" value="yes"><label for="intendToServeFoodYes">Yes</label><input type="radio" name="intendToServeFood" id="intendToServeFoodNo" value="no"><label for="intendToServeFoodNo">No</label>
</div>
<div class="typeOfFood">
<label for="typeOfFood">Type of food</label>
<input type="text" name="typeOfFood" id="typeOfFood">
</div>
<div class="intendQuestion questionYesNo radioForm">
<label>Do you intend to prepare food on premises?</label> <input type="radio" name="intendQuestion" id="intendQuestionYes" value="yes"><label for="intendQuestionYes">Yes</label><input type="radio" name="intendQuestion" id="intendQuestionNo" value="no"><label for="intendQuestionNo">No</label>
</div>
<div class="nameOfFood inputForm">
<label for="nameOfFood">Name of food provider/carter</label>
<input type="text" name="nameOfFood" id="nameOfFood">
</div>
<div class="foodPhone inputForm">
<label for="foodPhone">Phone</label>
<input type="text" name="foodPhone" id="foodPhone">
</div>
<div class="foodExplain">
<h3>(*Caterer will be required to provide copy of License to Cater and/or Food Handler Certificate*)</h3>
</div>
<div class="startTimeFood inputForm">
<label for="startTimeFood">Start Time (includeing set-up)</label>
<input type="text" name="startTimeFood" id="startTimeFood">
</div>
<div class="endTimeFood inputForm">
<label for="endTimeFood">End Time (includeing clean-up)</label>
<input type="text" name="endTimeFood" id="endTimeFood">
</div>
<div class="totalHoursFood inputForm">
<label for="totalHoursFood">Total Hours</label>
<input type="text" name="totalHoursFood" id="totalHoursFood">
</div>
</div>
<div class="facilityForm__form__alcohol">
<b>Alcoholic Beverage Use</b><hr>
<h3>*Temporary CT State Liquor Permit required if alcoholic beverages are sold or included in admission price*</h3>
<div class="alcoholRequest questionYesNo radioForm">
<label>Are you requesting permission for alcoholic beverage use?</label> <input type="radio" name="alcoholRequest" id="alcoholRequestYes" value="yes"><label for="alcoholRequestYes">Yes</label><input type="radio" name="alcoholRequest" id="alcoholRequestNo" value="no"><label for="alcoholRequestNo">No</label>
</div>
<div class="typeOfAlcohol checkboxForm">
<label>Type of Alcohol:</label>
<input type="checkbox" name="beer" id="beer"><label for="beer">Beer</label>
<input type="checkbox" name="wine" id="wine"><label for="wine">Wine</label>
<input type="checkbox" name="liquor" id="liquor"><label for="liquor">Liquor</label>
<h3>(*NO RED WINE IN LOUNGE*)</h3>
</div>
<div class="howDispensed radioForm">
<label>How Dispensed:</label>
<input type="radio" name="howDispensed" id="openBar" value="openBar"><label for="openBar">Open Bar</label>
<input type="radio" name="howDispensed" id="byob" value="byob"><label for="byob">BYOB</label>
<input type="radio" name="howDispensed" id="cashBar" value="cashBar"><label for="cashBar">Cash Bar</label>
</div>
</div>
<div class="facilityForm__form__alcoholCondition">
<b>Conditions of Alcoholic Beverage Use:</b><hr>
<ol>
<li>The use of Alcoholic beverages is prohibited in or on the premises unless expressly authorized by the Board of Directors. Alcoholic beverages may be offered for sale during an event only upon prior approval and receipt of a valid State Liquor Permit.</li>
<li>The individual or organization in whose name the facility is rented shall be responsible for securing a temporary liquor permit from the State Liquor Control Commission if required, and shall provide a copy of said permit to the Director at least one day prior to the event. (State guidelines for obtaining permit available upon request)</li>
<li>If alcoholic beverages are permitted, use shall be confined to the main dining area (including dining patio) and Lessee acknowledges and agrees to uphold state law in prohibiting the dispensing or serving of alcohol to any person under the age of 21 years.</li>
<li>Lessee is responsible for the removal of all alcohol beverage containers from Community Center’s property at completion of event including empty bottles and cans.</li>
<li>Liquor Liability Insurance Coverage (dram shop) must be provided by the renter.</li>
</ol>
</div>
<div class="facilityForm__form__generalCondition">
<b>General Terms and Conditions: PLEASE READ BEFORE SUBMITTING FORM</b><hr>
<ol>
<li>Smoking is prohibited in all areas of the facility.</li>
<li>Children accompanying adults must be supervised at all times.</li>
<li>Lessee is responsible for complete clean up and disposal of trash. All trash to be removed to outdoor receptacles. All bottles and cans are to be removed from property by lessee. A disposal fee of $25.00 may be applied if necessary.</li>
<li>All food and drink shall be confined to the main dining area and dining patio.</li>
<li>Certificates of General Liability Insurance may be required for functions held at Community Center. Host group or individual will be notified upon submission of a completed facility use request form. Insurance is mandatory for all events at which alcohol will be served.</li>
<li>The Litchfield Community Center reserves the right to decline rental of the facility, rescind a rental contract, or require a cash deposit as prerequisite to rental.</li>
<li>The Lessee agrees to assume and be responsible for any expense(s) incurred for damage(s) to the premises or Center’s property resulting from Lessee’s use.</li>
<li>The Litchfield Community Center does not accept responsibility for loss or theft of articles belonging to Lessee or any member of his party, or injury or accident to any said person on the grounds of or in the facility, and is absolved by Lessee of all liability, which may result thereof.</li>
<li>Additional attendants, i.e. parking attendants, cleaning personnel, Police/Fire supervision, etc., may be required as a condition of approval, the cost of which shall be Lessee’s responsibility.</li>
<li>Outdoor activities cease at 10:00 p.m. as required by local zoning laws and in consideration of our neighbors.</li>
<li>The telephone is to be used for emergency or local calls only. Any long distance expenses incurred during a function will be charged to the Lessee.</li>
<li>Taping, mounting or displaying items on any painted surface is not allowed.</li>
<li>Use of Pool Tables as display/exhibit space requires approval from Director</li>
<li>Any items/supplies brought into the facility or placed on the Center’s property must be removed within 24 hours of the conclusion of the Lessee’s event. Items remaining after 24 hours may be disposed of as abandoned property.</li>
<li>A Community Center Staff Member will be on site and available to assist you, or your designated representative, throughout your rental time unless other arrangements have been made with the Executive Director prior to your scheduled event.</li>
</ol>
<p>In requesting the use of The Litchfield Community Center, I hereby acknowledge that I have read and understand the above terms and conditions, that the information provided by myself is true and accurate, and that I accept full and complete responsibility for the conduct and safety of the group and any and all damages that may result as a consequence of the rental.</p>
</div>
<div class="facilityForm__form__facilityRentalRate">
<b>FACILITY RENTAL RATE INFORMATION: BASE HOURLY RATE: $125.00 PER HOUR</b><hr>
<p>AT THE DISCRETION OF THE EXECUTIVE DIRECTOR AN INCREASE OR REDUCTION IN HOURLY RATE MAY APPLY IN CONSIDERATION F SERVICES RENDERED, USE OF FACILITY EQUIPMENT AND RESOURCES OR IN CONSIDERATION OF THE PURPOSE OF THE EVENT/FUNCTION FOR WHICH FACILITY USE IS BEING REQUESTED (i.e. RENTAL OF ENTIRE FACILITY FOR SPECIAL EVENT, CENTER STAFF SET-UP AND BREAKDOWN, PROMOTIONAL SERVICES FOR PUBLIC EVENT)</p>
<p>RENTAL RATE WILL BE DETERMINED UPON SUBMISSION OF A COMPLETED FACILITY RENTAL REQUEST FORM AND INDIVIDUAL LISTED AS CONTACT PERSON WILL BE NOTIFIED OF RENTAL FEE WITHIN 48 HOURS.</p>
<p>FOR EVENT EXCEEDING TWO HOURS A $100.00 NON-REFUNDABLE. DEPOSIT IS REQUIRED</p>
<p>USE OF THE KITCHEN FOR FULL FOOD SERVICE REQUIRES AN ADDITIONAL RATE OF $150.00 PER EVENT</p>
<p>A COMMUNITY CENTER STAFF MEMBER WILL BE ON SITE AND AVAILABLE TO ASSIST YOU, OR YOUR DESIGNATED REPRESENTATIVE THROUGHOUT YOUR RENTAL TIME UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE WITH THE EXECUTIVE DIRECTOR PRIOR TO THE SCHEDULED EVENT.</p>
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Litchfield<br/>
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<p>421 Bantam Rd. Litchfield, CT 06759</p>
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Phone 860-567-8302<br/>
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<a href="mailto:[email protected]">[email protected]</a>
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<p class="footer__contacts__serving-since">Serving Litchfield, Connecticut community since 2000</p>
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