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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Application For: — Banquet Hall Meeting Room _ Athletic Field A uatics Facility Other <br />Requested Facility(s): _ . <br />�tnr r <br />Requested Date(s) (Day/Date): ol) 19A, Z c, 00 11f <br />N. <br />Set -Up Time: " to Program Time: , ` 3 0 to f� Clean -Up. Time '9,.'30�c�30 to q f' <br />Group/Organization: F v — F P ; e'- i e s <br />rp t e--1 <br />Contact Person:K0 sc; <br />Alternate Contact Person:rrlari�vin elmblIJ <br />Address: 9Y%/fi J -e <br />Address: S /(` q y <br />City &Zip Code:e <br />y� � <br />City & Zip Code: <br />Home Phone: `'l ? -Y�0 3 <br />�,f <br />)orki Phone: 9,5'4/ - 6-F <br />Home Phone: <br />Work Phone: 3e7 - 6,3 <br />Estimated Total Event Attendance: 1ST" Adults �q, C) Teens 00 Children <br />Reason for Use: CA IJ le Ls �42- V L -(, \J t Gm s of Cr i me <br />Equipment/Services Requested: # of Tables — Athletic Lights _ Field Preparation <br />(subject to availability) # of Chairs times: from: pm s 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 Ci olton a , ertify that we have read the rules and regulations listed on the back of this application. <br />Signature of A licant:� <br />r! Date: l <br />r <br />(For Office Use Only) <br />Approval/Date: <br />— Security Required <br />— Insurance Required <br />Copies <br />Remarks: <br />Facility Notified/Date: <br />Payment Due Date <br />Reservation Fee <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />