Facility Rental Facility Usage Request Form Complete this form to request the use of space at the IIT. Please be sure to read the terms and agreements at the end carefully.Client First & Last Name* First Last Organization's Name First Primary Email* Secondary Email Primary Phone Number*Secondary Phone NumberAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Event DetailsEvent Title*Event Description*Event Date* DD slash MM slash YYYY Start Time* : HH MM AMPM End Time* : HH MM AMPM Recurring Event* Yes NoIf recurring, indicate frequencyIf recurring, provide end date MM slash DD slash YYYY Expected Attendance*Round TablesRectangular TablesAre you providing catering services?*(note: there are no kitchen facilities) Yes NoPlease elaborateWill decorations, furnishings or similar be installed?* Yes NoPlease elaborateSpace Requirements* Full Gymnasium 1/3 Gymnasium 2/3 Gymnasium Prayer Area Classroom Computer Lab Library Outdoor Field Outdoor CourtyardAdditional Requests Podium/Lectern Laptop Podium Microphone Table Cloth Folding Chairs Projector Screen Other(note: final cost will be provided to client after the form has been submitted and evaluated by staff)Other RequirementsPlease elaborate what else you would needConsent*1. The Client agrees to use the Facility for the Event only as described and for no other event or purpose. 2. The Client acknowledges that use of the Facility is conditioned on Client’s execution of this Agreement and payment of the required $500 refundable security Deposit and Facility Use Fee. 3. Client acknowledges and understands that no binding or enforceable agreement regarding use of the Facility shall exist until and unless (1) this Agreement has been signed by the Client and received by the IIT Office and (2) the Client has paid the required Deposit and Facility Use Fee. 4. The Facility access and use must be within the time specified. 5. Date and use times will include individual/organization preparation, decorating, and or rehearsal time, as well as time after the Event to remove decoration, Client equipment, and other items. If additional time is required for the above, please provide the details under “additional requests” (additional fees may apply). 6. Client agrees to pay to the Deposit as indicated, within five business days of the execution of this Agreement. 7. Client agrees to pay the Facility Use Fee at least seven days before the Event Date. If either the Deposit or Use Fee is not received in a timely manner, the Client will be provided notice that this Agreement shall be automatically void and the Client shall have no right to use the Facility. 8. The Deposit and Facility Use Fee is refundable. Cancellations must be received no less than three days prior to the event. 9. The Client must be the host and in attendance throughout the Event and shall take all reasonable actions to assure event safety, to prevent damage to the Facility and equipment, and to see that these conditions and other IIT Policies are met. 10. The Client shall not make any alterations to the Facility, any fixtures, building systems, or equipment, including floor/space partitions. At the end of the Event, the Facility shall be left in a clean, safe condition. The Client shall remove from the Facility all property and materials belonging to the Client. 11. If damages the Facility are a result of the Event, the costs for repairing the damages shall be borne solely by Client. 12. The Client shall reimburse the IIT for any repairs or restoration necessary to repair damages to the Facility caused by Client or the attendees of the Event no later than 30 business days after the IIT presents the Client with a written statement or invoice reflecting the nature and costs of the repairs. 13. The Client shall exercise care in the use of the Facility and adjacent areas and shall comply with guidelines to reduce excessive wear or damage. The Client agrees to keep the Facility and adjacent areas in a clean and orderly condition and to remove all waste material at the conclusion of the Event, unless the IIT agrees, in writing, to be responsible for cleanup, removal of waste or recycling. 14. Specific limitations apply as to the use of tape, balloons, glitter, candles, markers, tack, nails, other such materials and signage. Decorations must be fire retardant. The Client will consult with the IIT for a full overview of allowable decorations, signage and their placement. Decorations/signage which causes damage or additional cleaning requirements will result in additional charges to the Client. All decorations and all outdoor and indoor directional signage must be removed by the Client immediately following the Event. 15. The Client agrees that the event will adhere to Islamic etiquette and dress code. No non-Islamic music, smoking or alcohol consumption is permitted both within the interior or exterior of facility. 16. The client shall hold harmless, defend and indemnify the IIT and their employees, officers, directors, volunteers and agents (collectively, the “IIT”) from and against any and all liability, loss, damage, expense, costs (including without limitation costs, attorney’s fees and fees of litigation) of every nature arising out of, or in connection with, or relating to Client’s use of the Facility or its failure to comply with any of its obligations contained in this Agreement. 17. Should the Facility become unavailable due to an emergency, the IIT reserves the right to reassign the Client to another part of the facility, if available, or cancel the agreement. 18. The IIT may revoke this Agreement effective immediately upon the Client’s failure to timely comply with any pre-Event requirement, for any violation of use conditions or regulations required by the IIT. 19. The IIT may terminate any part of this Agreement without notice in the event of an emergency which, in the opinion and sole discretion of the IIT, would make the Event unfeasible. 20. The IIT assume no responsibility for injury regardless of degree, to the Client, Event attendees or other individuals. Acceptance of Terms. I have read and understand the above terms and conditions, assume responsibility and agree to abide by these terms and conditions.