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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 _ Aquatics Facility Other <br />Requested Facility(s): � � �& Q <br />Requested Date(s) (Day/Date): po <br />Set -Up Time: 1 0, to Program Time: ' © to ci : U(� Clean -Up Time: 4. ()U to <br />Group/Organization: <br />Contact Person: <br />�_>af • un <br />Alternate Contact Person: <br />n <br />Address: <br />pr <br />Address: O <br />City & Zip Code: <br />0_1 C, �233 <br />City & Zip Code: <br />a <br />Home P n yaq. lr,yc� <br />IWork Ph n . 9 aPl • <br />Home P one: qJ .0465 <br />I Work one:111 , 02213 <br />Estimated Total Event Attendance: 100 Adults Teens 43-C)— Children <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: 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 grouptorganization. I/We agree to abide by and enforce <br />the rules and regulations of the City certify that we have read e riles and regulations listed on the back of this application. <br />Signature of Applican : Date: <br />Payment Due Date <br />Approval/Dam: Facility Notified/Date: Reservation Fee <br />Security Required Cleaning Deposit <br />_ Insurance Required Date Applicant Notified <br />Copies lb <br />c23 Receipt Number <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />