"*" indicates required fields

Fallston Commons Clubhouse
Maintenance Checklist
This form is to be completed on the day of the event.
Renter Name:*
Address*
I approve to refund the $100 security deposit:*
MM slash DD slash YYYY

Tables and chairs clean*
Tables and chairs clean
Furniture in proper place*
Furniture in proper place
Carpet vacuumed*
Carpet vacuumed
Floors swept*
Floors swept
Spills wiped up*
Spills wiped up
Counters, stove and sink clean*
Counters, stove and sink clean
Oven and microwave clean*
Oven and microwave clean
All food removed*
All food removed
Restrooms presentable*
Restrooms presentable
Kitchen and restroom trash removed*
Kitchen and restroom trash removed
No cigarette butts outside*
No cigarette butts outside
Lights off*
Lights off
Doors locked*
Doors locked
Reminders:
Do not use foil in the bottom of oven.
No smoking in or around Clubhouse.
It is unlawful to serve alcohol to those under 21.
Exterior restroom doors are left unlocked when the pool is open.

Checklist completed:
Renter's Name*
Security Deposit Payee Name*
Clubhouse Committee Member's Name*
MM slash DD slash YYYY
Time*
:

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