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,Fame of Group: <br />Contact Person(s) <br />Mailing Address: <br />Dates) of <br />Reservation: <br />Load In <br />Date/Time: <br />Reservation Area(s) <br />Estimated # of <br />Participants: <br />INTERGENERATIONAL <br />RECREATION CENTER <br />1590 9th Street SW, Vero Beach, FL 32962 <br />(772)226-1780 <br />ima)indianrivenew. <br />RESERVATION AGREEMENT <br />Health First <br />Jodi Quillett <br />3300 S Fiske Blvd <br />Rockledge, FL 32955 <br />10/20/25 <br />10/20/25 9:00am 11:00am <br />112A& 112B <br />100 <br />.Staff U.ce Only. Reference Exhibit B: <br />Email: <br />Phone <br />Number: <br />Event Time <br />Load Out <br />Date/Time <br />Brief <br />Description <br />of'Event: <br />.1 <br />�y� <br />INDIAN RIVER COUNTY <br />INTERGENERATIONAL <br />RECREATION CENTER <br />E V E N T V£ N ll E <br />Jodi.quillet@hf.org <br />321-482-0893 <br />11:00am 1:00pm <br />10/20/25 1:00pm - 2:00pm <br />Medicare Benefit Sessions <br />FACILITY / PROPERTY <br />Reservation of: <br />RESERVATION FEE: <br />Room 112 A & 112 B @ $127.50 for 5 hours <br />$637.50 <br />AMENITIES / OTHER <br />Reservation of: <br />FEE: <br />10 tables included in reservation (additional tables $9.00 each) <br />Included <br />40 chairs @ $0.75 each (60 chairs included in reservation) <br />$30.00 <br />Crestron Media Wall, 112 A <br />$150.00 <br />Event Setup & Breakdown Fee <br />$100.00 <br />3.0% SALES TAX: <br />$917.50 <br />Reservation Agreement Sub -Total: <br />Tax Exempt <br />*RESERVATION <br />*Required to Reserve Room/Area and due upon Agreement signing. <br />DEPOSIT (25%): <br />Events booked for less than 45 days require payment infill in the form of cash <br />$323.13 <br />or credit card. <br />*DAMAGE DEPOSIT: <br />*Fully refundable with no additional charges and no damage. <br />8375.00 <br />TOTAL DUE: <br />September 20. 2025 <br />Reservation Agreement GRAND TOTAL: <br />51,292.50 <br />Applicant Initials <br />Intergenerational CAter Reservation Agreement <br />Page 1 of 6 <br />