Send forms to: Neringa Rental Request, 72 Easterbrook Rd., Lunenburg, MA 01462.
NAME OF GROUP:
TYPE OF GROUP: Neringa is available for use to groups with religious, cultural or educational programming. Please include a copy of your programming agenda with this form.
NUMBER OF PEOPLE IN GROUP & AGE RANGE:
DATE & TIME of ARRIVAL:
DATE & TIME of DEPARTURE:
GROUP LIABILITY INSURANCE POLICY: A Certificate of Insurance with Neringa,Inc. & Sisters of the Immaculate Conception named as additional insured is required.
CONTACT PERSON FOR GROUP:
ADDRESS:
PHONE:
FAX:
E-MAIL:
SIGNATURE:______________________DATE:_______
The landlords of Neringa, the Sisters of the Immaculate Conception, must approve the use of the facilities.
Request Approved by the Sisters of the Immaculate Conception (Landlord of Neringa, Inc.)