(Only Necessary if Over 10 Guests)  Homeowner Event  Community Event The undersigned requests to reserve a portion of the Lanikeha Clubhouse on __________________________ from _____________________ to _____________________. Date of funfrt66ction starting hour closing hour Describe Event: ________________________________________________ Estimated Guest Count ________________ Portion of Facility Requested (Check All that Apply):  Kitchen  Meeting Rm 1 (with Lanai)  Meeting Rm 2 (Pool table & TV) *Pool, Pool Pavilion area including tables, chairs and lounges, gym and Barbecues are not for exclusive use at any time Anticipated number of vehicles and parking gate access arrangements ______________________ Other Comments/Requests__________________________________________________________ 1. The Lanikeha Clubhouse or portion thereof is reserved on a “first come, first serve” basis. 2. Permission for function preparations prior to the function is at the discretion of the Management. 3. The Clubhouse and kitchen may be reserved for exclusive use. The Pool area may not be reserved for exclusive use. 4. Lanikeha Clubhouse will not be used for any commercial reasons. I am aware of and agree to abide by the policies and procedures established by the Association through its Board of Directors. INT___ 5. For guests to enter the gate, you will need to contact Kaanapali Golf Estates at 808-667-6904. INT___ ● I have received a copy of the Lanikeha House Rules governing the use of the Facility and have read, understand, and accept them. I will be responsible to insure that all persons attending this function will be in compliance with all of the Lanikeha Owners Association Rules. Owner Name Print/Sign_________________________________________________ Owner Lot Number (Phase)/Address ____________________________________ Phone ___________________ ______________________ _____________________ Home Business Mobile phone Email: _____________________________________________ **Blackout dates are subject to Christmas Day/Eve, Thanksgiving, Independence Day. Reservations cannot be booked outside of 60 days from Event *** Pending Approval by the Lanikeha Association Board Pre-Function Inspection Please call 808-264-0079 prior to the function for final arrangements. I have inspected the interior of the Lanikeha Clubhouse, adjoining restrooms, and the surrounding area and find the condition and cleanliness acceptable. __________________________________________ ___________________ Signature of Owner Date __________________________________________ ___________________ Signature of Management Date Post-function Inspection I have inspected the interior of the Lanikeha Clubhouse, adjoining restrooms, and the surrounding area and find the condition and cleanliness acceptable. __________________________________________ ___________________ Signature of Owner Date __________________________________________ ___________________ Signature of Management Date By signing below, I waive my right to be present at the time an Association staff member checks the condition of the Clubhouse indicated herein. I accept full responsibility for any loss or damage he/she may find while I am not present. I understand that discovery of any loss or damage to the Clubhouse will require me to immediately reimburse the Association for such losses or damages under the provisions established in the Lanikeha Owners Association Rules and the Lanikeha Clubhouse Event Rules. I understand that loss or damage to the Lanikeha Clubhouse may result in forfeiture of all future reservations and privileges to use the Association’s recreation facilities. __________________________________________ ___________________ Signature of Owner Date Return to: Lanikeha Management Lanikehamgt@gmail.com Lanikeha Home Owners Association Cell-808-666-1902 870 Anapuni Loop, Lahaina, Hi 96761