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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />M <br />Apptication For: Banquet Hall _ Meeting Room _ Athletic Field _ Aquatics Facility ✓ Other <br />Requested Facility(s): /? -arl< <br />Requested Date(s) (Day/Date): a aoa dL— <br />Set -Up Time: to Program Time: to / I Clean -Up Time: to Q <br />Group/Organization: �(�� C D -�o <br />Contact Person: p �^ <br />Alternate Contact Person: <br />r <br />Address: <br />Address: <br />City & Zip Code:12 <br />City & Zip Code: <br />Home Phone: <br />Work Phone: <br />Home Phone: — <br />Work Phone: <br />Estimated Total Event tendance: Adults 5�Q Teens Children <br />Reason for Use: 'L-r <br />ngmpmentibervtces 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): <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 group/organization. I/We agree to abide by and enforce <br />the rules and regulations of the City of Colton and certify that we have read the rules and regulations listed on the back of this application. <br />Signature of Applicant: <br />(Fnr nffirP lisp nnN1 <br />Date: <br />Date Received/Initials: <br />Payment Due Date <br />Approval/Date: <br />Facility Notified/Date: <br />Reservation Fee <br />Security Required - Verified: <br />Cleaning Deposit <br />Insurance Required - Verified: <br />Date Applicant Notified <br />Copies <br />- <br />Receipt Number <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />