CCC Rental Application
Name:_______________________________________________________________________
Address:_____________________________________________________________________
Phone:______________________________________________________________________
Mobile Phone:________________________________________________________________
Email:_______________________________________________________________________
Contributing Member? Yes _________ No __________
Date of Event: __________________________ Time: ________________
Start-End:____________________________
Set-up Date/Time: ____________________ Clean-up Date/Time: _____________________________
Estimated Attendance: _______________ Age Group: ______________
Caterer’s Name/Contact: __________________________________________________________________________
Caterer’s Insurance: ___________________________________________________________________________
Rental Equipment Drop-off Date/Time:
________________________________________________________
Rental Equipment Pick-up Date/Time:
_________________________________________________________
Will alcohol be served: Yes___________ No ____________ (permit is required & insurance policy)
Type of Event:
_________ Wedding: (Member: $1,000/Non-Member: $1,500) $______________
_________ Rehearsal Dinner/Event (Member: $500/Non-Member: $750) $______________
_________ Private Event (Member: $500/Non-Member: $750) $______________
_________ Contributing Member Fee: ($150/yr.) $______________
_________ Non-Profit Event: ($75) $______________
_________ Rental deposit (50% of rental fee required with rental agreement) $___________
_________ Security Deposit per event: (Separate Check with Rental Agreement) $
__________Advertised Public Event: (Open to the Chappy Community) $ 0.00
__________ Meeting (for-profit organization
1-50 people $300
51-90 people $600
_________ Memorial Service: $ 0.00
Grand Total: (Mail checks to: CCC, P.O. Box 2966, Edgartown, MA 02539) $______________
Additional Fees/Services:
Event charging admission: (30% of admission fee not to exceed $200)
Yes________ No________
Cleaning Service Requested: (Billed to renter) Yes________ No ________
Mosquito Spraying: (Billed to renter) Yes ________ No________
Porta-Potties Required (2): (Billed to renter) Yes________ No________
Equipment available: (Check all that apply)
______ 8ft tables (9) _____ Arm Chair (8) ______ Card Tables(2) ______ Square Table(1)
______ Chairs (140) ______ Sofas (2)
_____Projection Screen (1) ______ Audio/Video (must supply own equipment)
______refrigerator ______microwave ______dishwasher ______gas stove
Rental fees:
$5 each per table
$2 each chair
Renter hereby agrees to indemnify, defend, and hold harmless the CCC and its
employees from and against any and all losses, claims, damage, liability, injury,
compensation, expenses, including attorneys’ fees incurred by the CCC arising from the
use of the facilities by Renter or Renter’s guests or invitees that results in injury or
property damage.
Your rental application will be reviewed by the CCC Building Use Committee, and approval
will be returned to you within 2 weeks. Rental will be considered confirmed with a signed
agreement, security deposit, and 50% of the rental fee. Please make checks payable to CCC.
Your signature below acknowledges that you have read, understood, and will abide by the
CCC’s Building Use Policy and Guidelines.
CCC Signature: __________________________________________________________ Date____________________
Renter’s Signature: _______________________________________________________ Date____________________
Revised: March 5, 2025
