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Agreement for use of Shelter Neck UU Camp Property, Burgaw, NC
Owned and maintained by the Universalist Convention of North Carolina, Inc.

This agreement must be signed by the renting party or representative and returned to name and address below
with appropriate rental fees and deposits within five days of verbal reservation.
Reservation is NOT assured until received.
Fees:    A. A Cleaning deposit of $100.00* is required with reservation and will be credited or returned when
property is left properly cleaned. We have NO staff. Shelter Neck is volunteer/participant operated.
            B. The Property rental fee for Shelter Neck is $100.00 per day (5PM-5PM)
                 or $50.00 per day for UCONCI member congregations,    plus
            C. Per-person Property use fee $5.00 per person, per day. Provides access to facilities, activities (some activities require extra fees), and overnight stay.
          NOTE:  Property rental fee only covers part of the overhead: insurance, maintenance, grounds care, etc.
           Per person use fee covers gas, electric, phone, cleaning materials, tissue, and other consumables.

Out of respect for our churches, fellowships, congregations and neighbors and for safety reasons Shelter Neck has the following
Rules and Code of Conduct:
1. The renting group is responsible for leaving buildings and grounds clean. Sweep and damp mop floors, wash and put
away all dishes, silverware, pots, etc in plastic storage bins.
2. Remove all garbage and trash when leaving. (There is no trash pick up at Shelter Neck)
3. Remove all opened, perishable food from the pantry, and refrigerators. Leave dry foods such as coffee, pasta, grains,
etc. in airtight containers.
4. The renting party is liable for damage to the property and the cost of repairs.
5. Midnight to 8am. Is quiet time.
6. Outside fires (campfires) permitted in designated areas, only when not banned by the Burgaw Fire Dept. 910 259-1212
7. Drunkenness, illegal conduct, illegal substances, weapons of ANY kind, and public nudity is not permitted.
8. No smoking in any building. Smokers are responsible for ashes and butts outdoors.
9. Candles or other open flames, are prohibited in any building. (Old and very dry structures)
10. The Chapel is a sacred place and should be used accordingly.
11. Follow Open and Close procedures posted on refrigerator.
Parties not following the above policy will be asked to leave by the caretaker and/or member of the UCONCI board, will
not be refunded rental or deposits, and will not be allowed to rent again.

Print or type information below:
I have read, understand, and agree to follow, the above rules.
__________________________________ _________________________________________
Group Name and Responsible Person and title (please print)
__________________________________ _________________________________________
Address Signature of above person renting for group
Phone: day______________ evening_______________ Email: _________________________________
Return this form with (A) cleaning deposit, (B) 1/2 Property rental fee and (C) estimated Per person use fee to:
Reservation is not assured until received: See other side to calculate $__ required to reserve dates.
Susan Wasilewski, Registrar: (919) 847-0028
7305 Fiesta Way, Raleigh, NC 27615
From________ /__________ To_________ /___________ Estimated number of Camp occupants__________
Date / time Date / Time

Page 1 of 2 Revised 05/05

AGREEMENT FOR THE USE OF SHELTER NECK PROPERTY, BURGAW, NC
On site telephone 910 259-5392 incoming calls during events. Burgaw Fire Dept. (910) 259-1212, Burgaw Police Dept. (910)259-4924, Burgaw Medical Center (910)259-3377, Burgaw Town Hall (910)259-2151
Additional SN Contact phone #_____________ Cell phone # of attendee contact. ____________________
Renting Party's Treasurer / Responsible party
Name _______________________________________________________ Phone _______________
Address __________________________________________________________________________
_________________________________________________________________________________
Email: ___________________________________________________________________________

Second contact person for renting Group:
Name _______________________________________________________ Phone _______________
Address __________________________________________________________________________
_________________________________________________________________________________

 Due with reservation:
A. Cleaning deposit $100                                                                                                $100
B. Deposit of half of property rental fees, i.e. $50 of $100
                    (or $25 of $50 for UCONCI members)   _______   X # ________days = $________
(Deposit not refundable if cancelled less than two weeks of event)
C. Estimated # Daily attendees _____   X   $5 each,  =  ______   X    # _____ days  = $ _______
 
                                                                                            Total Due with reservation: $ _______
Balance due within ten days of end of event:
B. Second 1/2 rental fees                                                                                            $ _______
C. Difference in # Daily attendees _____ X $5 each = ________ X # _____ days = $ _______
Deposit may be credited to next event.                                     Less cleaning deposit $ _______
 
                                                                                                     Total balance due $ _______

For fee purposes, a rental day begins at 5pm one day and ends at 5pm the next, but does not include
opening or cleaning times if needed.

Notes or Questions:








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