Application Form to Rent Black's Bay Lodge

Instructions:

Fill in all the info requested here. Black's Bay Lodge ("BBL") only rents to mature, responsible adults over 25 yrs. old. The information collected here is either necessary to administer the anticipated rental contract, &/or enables BBL to determine the risk, and the suitability of our Facilities for your needs.
After answering all questions, click on SUBMIT button (at bottom of this page) to send your info to BBL.
We will review your application and confirm your booking via e-mail. Security Deposit of $500.00 must be received before booking will be confirmed.

DO NOT enter credit card, bank account, nor other confidential information here.

Applicant's (Your) Name:

Date of Birth: ,

Co-Applicant's Name

Date of Birth: ,

Relationship between you and Co-Applicant

Spouse Family Friend Other:

Are you inquiring for yourself, or are you representing another person or group

When do you want to rent ?

BBay's Calendar of Available Dates

After 2:00 PM on Start Date:

Before 11:00 AM on Stop Date: Total # days:

Check-in is after 2:00 PM, check-out is before 11:00 AM

BBL rents by the day (full price), weekend (49% off the Daily rate), and week (49% off).

During July and August, BBL only rents by the week, starting at 2:00 PM Saturday, and going till 11:00 AM the following Saturday.

BBL's rental rates vary by Off-Season (40% off Daily rate), Ferry Season (20% off), and Prime Time (full price). For more info, see BBL's Rental Rates

You can make the Security Deposit ($500.00) by direct-deposit to BBL's bank account, or by sending cheque/money order to BBL with your Application, or paying by PayPal.

BBL will not hold your requested time slot, and will not process your Rental Application until BBL has received your $500.00 Security Deposit.

Your E-mail Address:

Daytime Phone

Extension:
In N. America, include Area Code. Outside N. America, include Country Code and Area/City Code)

Evening Phone

Extension:

Cell Phone, Pager

Street Address

City

Province/State

Country

Postal Code/ZIP

How many people are coming (including Applicant & Co-Applicant)?

Mature Adults (25 & over):          Names:
Young Adults (19 - 24 yrs old):    Names:
Teenagers (13 -18 yrs old):          Names:
Children (5 - 12 yrs old):              Names:
Infants (0 - 4 yrs. old):                  Names:

Pets who will be coming

Black's Bay Lodge Pet Policy

Emergency Contact (someone not coming with you)

                Name:
                Address:
                Phone:
Relationship to You:

Risk Assessment

Have you ever been ejected, asked to leave, requested to pay damages, lost part or all of your security deposit, asked to not return, or other similar event at rental housing, cottage rentals, hotels/motels, or similar places?
Yes No
If "Yes", please explain fully:

Full Disclosure

In the field below, describe and fully disclosure to BBL all other information that would help BBL properly assess the rental rate to be charged, the risk involved in renting BBL's Facilities to you and your intended group, or your special needs or expectations.

Responsibility & Liability

Black's Bay Lodge' Liability Waiver is an integral part of all rental applications and subsequent rental agreements.

Brief Summary If your application is accepted by BBL, and you rent BBL's Facilities, you will be fully responsible and financially liable for all costs, damages, injuries, losses, liability, and all other risks that occur (excepting only for normal wear and tear); including all risks (all risks to yourself and your property, those attending with you and their property, BBL's Facilities, and third parties and their property; which are directly, indirectly, or partially caused by you, by members of your group, and by your guests); and you give up your rights to sue or claim against BBL. BBL does not have insurance, or our insurance policy doesn't cover risks associated with Renters, or BBL will claim first against you (and secondly against any insurance policy). Review the full Liability Waiver for specifics and the legally binding agreement between you and BBL.

Enter Security Code (in image at right)

This Security Code prevents hackers and spam from abusing this form.

Enter just the red numbers &/or letters in the image at right, ignore everything in blue). Security code is case sensitive. Form data will not be sent to BBL without correct Security Code.

Terms & Conditions for Application and all Subsequent Contracts

You are responsible to:

a) Review BBL’s printed sales literature that was provided to you (if any), as well as the electronic files on BBL’s Internet website ( http://www.blacksbay.com ), and be fully aware of the risks, conditions, suitability for your purposes, and limitations associated with this rental prior to submitting your Application;

b) provide in this Application all relevant information on a “utmost good faith” basis, so that BBL can correctly assess the rental charge fee, and the risks involved with your intended use of BBL's Facilities;

c) Pay the non-refundable deposit of $500.00 with your Application; and

d) Pay the Rental Fee in full at least three (3) months prior to the start of your rental period, or with your Application; whichever is last to occur.

On receipt of your Application, Black's Bay Lodge ("BBL") will review it, and if OK, will send an Acceptance to you by email within 48 hours. All funds paid by you will be held in trust by BBL pending BBL’s review and acceptance of this Application.. If your Application is not accepted, the entire amount will be promptly refunded to you. All Applications and resulting contracts are subject to the terms and conditions in BBL's written Acceptance that will be sent to you by email.

Once BBL has accepted this Application, the resulting rental contract cannot be canceled, assigned to a third party, or modified except as expressly permitted in BBL's Liability Waiver; and thereafter the Security Deposit and Rental Fee will be chargeable and non-refundable; whether or not you are subsequently willing and able to utilize the contracted rental period. Any unused portion of your Damage Security Deposit will be refunded to you within two weeks after the end of the rental period.

If this form FAILS for any reason, call BBL at +1 (705)-377-4039 or e-mail BBL

Original: June 25, 2007