2002 AGN FEB 19 I10 - Laserfiche WebLink

Browse Search

City of Colton Parks, Recreation & Family Services Department APPLICATION FOR FACILITY RESERVAUQN ' Application For: _ Banquet Hall _ Meeting Room _ Athletic Field Aquatics Facility _ Other Requested Facility(s): tl&re ; r , Requested Date(s) (Day/Date):�� . Set -Up Time: to to,Program Time: LCIALto an Cle-Up Time: to3� Group/Organization: _ y -, C Estimated Contact Person:k Alternate Contact Person: )�1 - Address: ti) � Address: r City & Zip Code' 3 City & Zip Codex, i' z Home Phone: Work Phonq. _ ome Phone: Work Phone: C/ -)i - - Estimated Total Event Attendance: Reason for Use: Equipment/Services Requested: (subject to availability) I sy Adults # of Tables # of Chairs Kitchen/Concessions Additional Request(s): Teens -3-C, Children Athletic Lights times: from: pm to: pm RENTAL AGREEMENT Field Preparation _ Bases P.A. System IfWe hereby certify that we shall be personally responsible, on behalf of our group/organization, for any damage or abuse of buildings, grounds, fields, equipment, or other facilities through the use of said premises by our group/organization. I/We agree to abide by and enforce the rules and regulations of the City of Colton and certify that we have reaa ..)the rules and regulations listed on the back of this application. Signature of Applicarth.. _ , 6 tic✓ Date: . (I Remarks: White: Office Yellow: Facility Green: Maintenance Pink: Patron Date Received/Initials: 3 H Oa Payment Due Date Approval/Date: Facility Notified/Date: Reservation Fee Security Required - Verified: Cleaning Deposit _ Insurance Required - Verified: Date Applicant Notified Copies Receipt Number Staff Initials/Date Remarks: White: Office Yellow: Facility Green: Maintenance Pink: Patron