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For: <br />Requested Facility(s): <br />City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Room Athletic Field <br />Requested Date(s) (Day/Date): 4 <br />Set -Up Time: 4OZ to gram T' JZ <br />Fr l Qp�t I Clean -Up Time: to la <br />Group/Organization: <br />"a/ tr <br />G1 <br />Contact Person: <br />dR <br />temate Contact Person: 4,j <br />Address: <br />Address: / �t <br />City &Zip Code <br />Cleaning Deposit <br />City & Zip Code: GJ <br />Home Phone: 7- <br />Work Phone: -0j;�_J <br />Home Phone: -W/_-LIWork <br />Phone: <br />Estimated Total Event Attendance: &L) Adults 1 _1�9 Teens Children <br />Reason for Use: <br />uipment/Servitefs 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 group/organization. I/We agree to abide by and enforce <br />the rules and regulations of the Ciand ce we have read the rules and regulations listed on the back of this application. <br />Signature of AppliEa _ 02:'--7' `std Date: <br />(Far Offirn Itch nnlvl <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />� -" <br />Payment Due Date <br />Reservation Fee <br />A rovaVDate:" ��¢ <br />pp ufied/Date: 6 4/0 26 <br />_ Security Requiredc <br />Cleaning Deposit <br />Insurance Required ftan <br />„ , , "rt `'. <br />-1 <br />Date Applicant Notified <br />1 <br />Copies <br />Receipt Number <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />