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Name of Group: <br />Contact Person(s) <br />Mailing Address: <br />Date(s) of <br />Reservation: <br />Load In <br />Date/Time: <br />Reservation Area(s): <br />Estimated # of <br />Participants: <br />INTERGENERATIONAL <br />RECREATION CENTER RECREATION <br />ND1Ah HIV6A COUNTY <br />NTERGENERATIONAL <br />CENTER <br />1590 9th Street SW, Vero Beach, FL 32962 H v E N T v s N o E <br />(772) 226-1780 <br />ig(&indianriver.Qov <br />RESERVATION AGREEMENT <br />Taibl Insurance <br />Jared Taibl Email: jaredAtaiblinsurance.com <br />2516 Langrove Ln SW Phone 954-895-6988 <br />Number: <br />Vero Beach, FL 32962 <br />Saturday, March 21, 2026 Event Time: <br />3/21/2026$: — Load Out 3/21/202644InIA A4 <br />30 6,,... - 0 a Date/Time: i I n %." — i ( . 3 <br />112 A Brief A free educational discussion about <br />Description Medicare options to help participants <br />of Event: understand their choices and learn <br />30 how to avoid penalties. <br />Staff Use Only. Reference Exhibit B: <br />FACILITY / PROPERTY <br />Reservation of. <br />RESERVATION FEE: <br />Room 112 A @ $85.00 per hour for 2 hours <br />$170.00 <br />AMENITIES / OTHER <br />Reservation of.- <br />fFEE: <br />FEE: <br />5 tables included in reservation (additional tables $9.00 each) <br />No Fee <br />30 chairs included in reservation (additional chairs $0.75 each) <br />No Fee <br />Podium <br />Included <br />Event Setup & Breakdown Fee <br />$75.00 <br />0% SALES TAX: <br />$0.00 <br />Reservation Agreement Sub -Total: <br />$245.00 <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 in full in the form of cash <br />$125.75 <br />or credit card. <br />*DAMAGE DEPOSIT: <br />*Fully refundable with no additional charges and no damage. <br />$250.00 <br />TOTAL DUE: <br />February 19, 2026 <br />Reservation Agreement GRAND TOTAL: <br />$495.00 <br />Applicant Initials <br />Intergenerational nter Reservation Agreement <br />Page I of 6 <br />