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,t <br />For: <br />Requested Facility(s): <br />Date(s) (Day/Date): <br />City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Hall <br />Other <br />Set -Up Time: 1a; 00W 1: O(Dgr I Program Time: :O�1P to -7.',)C),,, I Clean -Up Time:% (;4 . to b? OCJ <br />Group/Organization: <br />n i o \ d <br />C h rj S -F i ct <br />Q <br />Reason for Use: C0mrt411 i <br />Contact Person: S <br />C L to 5i c -'Food <br />dive-atcidty) <br />Alternate Contact Person: <br />Address: jqo <br />SOct <br />VepI1 <br />Address: E .I <br />Cit 5-�. <br />City & Zip Code: CC 11�r\ <br />ct)L-3,';� <br />City & Zip Code: CO <br />of a-3 a. -y <br />Home Phone: L5--75-Zi <br />Work Phone: a04/- <br />Home Phone: 'yal - 010 <br />Work Phone: 377 -Qcj <br />Estimated Total Event Attendance: (09 Adults <br />Teens <br />: <br />Children <br />Reason for Use: C0mrt411 i <br />4a/ l- dh <br />C L to 5i c -'Food <br />dive-atcidty) <br />Equipment/Services Requested: — # of Tables _ Athletic Lights — Field Preparation <br />(subject to availability) # of Chairs times: from: pm _ Bases <br />— Kitchen/Concessions to: pm ,� P.A. System <br />— Additional Request(s): SE 0 f; ? �� �` �a Y 5,YSA , <br />RENTAL AGREEMENT <br />I/We hereby certify that we shall be personally responsibl on behalf of our grouptorganization, for any damage or abuse of buildings, <br />grounds, fields, equipment, or other facil ies through u of said premises by our grouptorganization. I/We agree to abide by and enforce <br />the rules and regulations of the City of t and c th we have read the rules and regulations listed on the back of this application. <br />Signature of Applicant: Date: '� OX <br />Payment Due Date <br />Approval/Date: Facility Notified/Date: Reservation Fee <br />Security Required-Veti#iad: <br />Cleaning Deposit <br />_ Insurance Required=trePtl:. Date Applicant Notified <br />Copies Receipt Number <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />