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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 />Hall <br />Athletic Field <br />Requested Date(s)(Day/Date):�/� <br />Set -Up Timei �j �y, to / 'd/y{> I Program Time: /,7,aActo <br />Clean -Up Time: l"�;L- to <br />Other <br />Group/Organization: <br />C <br />Contact Person: <br />orrz.-70 <br />Alternate Contact Person: �12?4� rc <br />Address: g,;I-/ JV,lv��-/ <br />Address: 1p % <br />City & Zip Code: Oer*L <br />3o� <br />City & Zip Code:�— <br />Home Phone: 783 -5!3% <br />Work Phone: <br />Home Phone: VV/ Work Phone: <br />Estimated Total Event Attendance: Ano— Adults c� Teens 5 "C t dren <br />Reason for Use: <br />Equipment/Services Requested: _ # of Tables _ Athletic Lights _ Field Preparation <br />(subject to availability) # of Chairs times: from: pm _ Bases <br />_ Kitchen/Concessions � // / to: � �p / P.A. System <br />Additional Request(s): JL!@G�/ i G� (/_ OZi7 p/s° tS Gi2 h S <br />RENTAL AGREEMENT�k 55 <br />I/We hereby certify that we shall be personally responsible, on behalf of our group/organization, for ny damage o a 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 certifp have read the rules and regulations listed on the back of this application. <br />Signature of Appli al -e �UWQ Date: <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />