Laserfiche WebLink
City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Application For: _ Banquet Hall Meeting Room Athletic Field Aquatics Facility Other <br />Requested Facility(s): <br />Requested Date(s) (Day/Date): <br />Set -Up Time: X.Q1 to Program Time: to Clean -Up Time: to AD_ <br />Group/Organization: <br />Contact Person: O <br />Alternate Contact Person: <br />Approval/Date: <br />Address: <br />Address: <br />Reservation Fee <br />City & ZipCodre�: <br />City & Zip Code: <br />Verifllod <br />L <br />Home Phone: j —%3`J <br />Work Phone: <br />Home Phone: j _<j <br />Work Phone: j a <br />Estimated Total Event 4ttendance: Adults Q-256 Teens L Children <br />Reason for Use: <br />uipment/Se"es $equested: _ # of Tables <br />(subject to avat a-6ility) _ # of Chairs <br />_ Kitchen/Concessions <br />Additional Request(s): <br />Athletic Lights _ Field Preparation <br />times: from: pm _ Bases <br />to: pm —P.A. System <br />RENTAL AGREEMENT <br />I/We hereby certify that we shall be personally responsible, on behalf of our group/organization, for any damage or abuse of buildings, <br />grounds, fields, equipment, or other facilities through the use of said premises by our grouptorganization. I/We agree to abide by and enforce <br />the rules and regulations of the City of nd certiEv at we have read the riles and regulations ' on the back of this application. <br />Signature of AppJI� �%rl C 2e_.4 O Date: <br />lien nnM <br />Date Roceiradflititials ` <br />-71 <br />Payment Due Date <br />Approval/Date: <br />Facility Notified/Date: <br />Reservation Fee <br />_ Security Required <br />Verifllod <br />Cleaning Deposit <br />_Insurance Required <br />t Verified: <br />Date Applicant Notified <br />Copies <br />IReceipt Number <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />