Request Form User InformationAttendee TypeIndividualOrganizationCorporate AttendeesNameEmail AddressPhoneStreet AddressApartment, suite, etcZIP / Postal CodeName *Email Address *Phone *Street AddressApartment, suite, etcCityZIP / Postal CodeProfessional InformationOrganization/CompanyJob TitleProfessional WebsiteEvent SelectionDate *Start Time (Setup Time)AM/PME.g. 10AMPMDuration (in hours)Room Request OptionsLarge RoomBoard RoomConsent * "In consideration for the Canoga Park Community Center Foundation, Inc., acting as agent of the Canoga Park/ West Hills Chamber of Commerce, leasee granting User permission to use its Community Room (the "Premises"), User shall use and occupy the designated room for only purposes stated. User shall not use the Premises for any unlawful purpose or in any manner, which will interfere with the rights of other occupants of the building. User, its members, officers, directors, agents and invitees shall comply with all laws, rules, statues, ordinances, governmental regulations and requirements affecting the use or occupancy of the Premises as well as Foundation's "Rules Governing Use of Community Rooms", a copy of which will be provided upon final confirmation. User hereby agrees to indemnify and hold harmless the Foundation, its agents, employees, invitees, licensees or persons acting on its behalf, The Canoga Park/West Hills Chamber of Commerce and the City of Los Angeles its officers, departments, agencies, bureaus and employees against and from any and all claims of damage or injury arising out of its use of the Premises or from the conduct of any activity permitted by User therein. Further, User hereby assumes al risk of damage to property or injury to persons in, upon or about the Premises from any cause other than the Foundation's use or negligence and User hereby waives all claims in respect thereto against the Foundation, its agents, employees, invitees, licenses or persons acting on its behalf, The Canoga Park/West Hills Chamber of Commerce and the City of Los Angeles, its officers, departments, agencies, bureaus and employees. This Agreement shall only become effective upon Foundation's Community Center's Representative receiving the signed original of this Agreement Foundation will make keys available to User prior to the rental date, if all conditions of the Agreement have been met and if fee for use of the Premises has been paid. CANCELLATION FEE: Any cancellation later than two weeks before the reservation date shall be subject to a $25.00 cancellation fee. Notification shall be made in writing by standard mail or email. If no notice is given before 24 hours of the reservation date, all deposits shall be forfeited. Registration Fee$Payment MethodCredit CardPayPalRegister