Table/Chair Usage Form

Table / Chair Usage Form

Blue Rock Heights Association Request & Agreement for
Table/Chair Use

* Indicates required field

Member's Name *

First

Last

Address *

Email *

Phone Number *

Table / Chair use only:

Pickup Date : *

Number of Days *

# of Tables *

# of Chairs- max 30 *

Table / Chairs Agreement

In this time of Covid-19 it is expected that the tables & chairs that are borrowed will be wiped down
and disinfected with the strongest disinfectant solution available as outlined in
CDC Cleaning and Disinfection for Households.

1. The BRHA member is responsible for returning the borrowed items to their proper places in the clubhouse,
in clean and good condition.
2. The BRHA member is responsible for any damage to the tables and or chairs borrowed.

By signing (typing your name) you agree to the above terms

Print (Type) Name *

Date *

Submit

Table / Chair Usage Form

Blue Rock Heights Association Request & Agreement for​Table/Chair Use

2025 Blue Rock Heights Association

Blue Rock Heights Association Request & Agreement for
Table/Chair Use