Laserfiche WebLink
City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Group/Organization: C Co am T clan Oo +FaKi S&i(ICes <br />Contact Person: wt 6 <br />v <br />Alternate Contact Person: I <br />( ` &f 1 <br />Address: Lho AJ u <br />Address: �$afyf <br />City & Zip Code: Co P- qZ;52. <br />City & Zip Code: <br />Home Phone: <br />I Work Phone: .3 -Q -(„p (55 <br />Home Phone: <br />Work Phone: <br />Estimated Total Event Attendance: � Adults 50 Teens t06 Children <br />Reason for Use: ceum ry&c nw-l' Se ri e,S <br />Equipment/Services Requested: <br />(subject to availability) <br /># of Tables <br /># of Chairs <br />_ Kitchen/Concessions <br />Additional Request(s): <br />_ Athletic Lights <br />times: from: _ <br />to: <br />RENTAL AGREEMENT <br />Field Preparation <br />pm _ Bases <br />pm ,-P.A. System <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. Me agree to abide by and enforce <br />the rules and regulations of the City of Co on and fy at we have <br />read the riles and regulations listed on the back of this application. <br />Signature of Applicant ``x'41 Date: ✓" LT ' dZ. . <br />(Far nWira ries n.1.1 <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />Payment Due Date <br />Approval/Date: <br />Facility Notified/Date: <br />Reservation Fee <br />Security Required{E <br />Cleaning Deposit <br />_Insurance Required <br />� h <br />Date Applicant Notified <br />Receipt Number° <br />Copies <br />Staff Initials/Date <br />h <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />