Unitarian Universalist Church of Charlotte Bed and Breakfast Program Guest Application Charlotte, NC is the largest city between Washington, DC and Atlanta, GA‐ 18th largest city in the US. It is a major financial center and headquarters for Bank of America and seven other Fortune 500 companies. Charlotte Douglas International Airport is the hub for US Airways. The sports, cultural, and entertainment options are plentiful‐ NFL Carolina Panthers, NBA Charlotte Bobcats, Charlotte Knights Baseball, Charlotte Checkers Hockey, the US Whitewater Center, Lowe’s Motor Speedway, the NASCAR Hall of Fame, the Charlotte Symphony, Opera Carolina, Blumenthal Performing Arts Center, a variety of concert venues, The Museum of the New South, the Mint Museum of Art, the Mint Museum of Craft and Design, The Afro‐American Cultural Center, Discovery Place Science Museum and IMAX, Paramount’s Carowinds theme park, and many, many more attractions. Major colleges and universities include Queens University of Charlotte, Davidson College, Johnson C. Smith University, Johnson and Wales, and The University of North Carolina at Charlotte. The Unitarian Universalist Church of Charlotte, NC offers a Bed and Breakfast Program for fellow UUs who are visiting our city. Housing is in UUCC member homes, with a continental breakfast provided. All B&B homes are smoke free. Guest pets are not permitted. The cost is $70.00 per night for couples and $60.00 for a single, with all proceeds going to the UUCC Social Justice budget. A two‐week notice and a $50.00 deposit are required. Checks should be made to UUCC with “Bed and Breakfast Program” on the memo line. Please submit the following information: Name_______________________________________________________________________ Address_____________________________________________________________________ Phone____________________________email______________________________________ UU Church of Membership ______________________________________________________ Accommodations Needed: # of Guests______ Adults ______Children______ Ages of Children_________________ # and preference of beds: King _______Queen ________Full ________Twin__________ # of nights_________ Arrival Date_____________ Departure Date________________ Special Needs: Allergies_________________________________Mobility________________________ Dietary Constraints_______________________________________________________ Preferred Location: (i.e. near church, uptown, near major shopping/entertainment, near airport/light rail/or bus lines_________________________________________ ________________________________________________________________ Any other information: _________________________________________________________________________________________________________ Indemnity and Release Form I, the undersigned, fully recognizing the dangers and hazards inherent in attending and participating in travel, homestays, conventions, and any related transportation, including personal injury, property damage, or wrongful death, as well as the unknown dangers and hazards which may arise in the course of my participation in the home hospitality program, do hereby voluntarily: Agree, for myself, my heirs and my personal representative, to defend, hold harmless, indemnify, release and forever discharge, to the broadest extent allowed by law, the Unitarian Universalist Church of Charlotte, its trustees, officers, employees, agents, insurers, successors, assigns, from and against any and all claims, demands, actions, or causes of action on account of any damage to real or personal property or any personal injury or death that may result from my participation in the above program. I have read this release, I understand it fully, I understand that it is legally binding, and I understand that, among other things, I am agreeing to indemnify the Unitarian Universalist Church of Charlotte for injuries, damages or losses I may cause and giving up rights to sue the Unitarian Universalist Church of Charlotte for injuries, damages or losses I may incur. _______________________________ ___________________________ Printed Name (Participant) Signature of Participant Return your application to: B&B Program, c/o UUCC, Alesia Hutto, 234 N Sharon Amity Rd, Charlotte, N.C. 28211 .