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05/122/2003 11:34 9093705193 CU -TON CITY MANAGER PAGE 02 <br />WRON BUS1NESS KOWS (M) 793.0472 7a677p <br />City of Colton <br />Parke, Reeretation &; Family Services Depaetmant <br />APPLICATM FOR FA I . TY-wF5 YMON <br />ADplkydOn For: Banuuet Hall Meetinir Rohm ' Athletic Field Annaticc R"Hty %/ihhnr <br />Requested Facility(s): <br />Requested Date(s) (DayMute): <br />TDa.- <br />+l —� [ --ALI <br />tJ <br />Set -Up Time: q !Tl to <br />Prowam Time:: P toOISM <br />Gram -Up Time: ;{ to <br />' Group(Orgmization: <br />P. <br />- .o d +.: <br />Contact Person: M(([ " <br />Alternale Contact P«toa: <br />Address: ` 174t <br />y <br />l�Q"i``> <br />e <br />Address: <br />City rk Zip Code: <br />City & TJp Code <br />Home Phone: <br />Work Phone: Q 3 <br />Hoine Phone: <br />Wo¢t Phone: <br />Estimated Total Event Attendances 2-OD—Adult! Teens ! Cttildi� <br />Reason for Use: <br />EquipmentAServieea Requested: # of Tables Athletic 14 to —Field Preparation <br />(subject to availability) N of Chairs times: faun: pm _Bases <br />_ KitcheNCoasessions to: _ - pm _ P.A. System <br />_ Additional Request(s): <br />RENTAL AGREEMENT <br />V We hereby certify :that we shall be personally responsible, an bbhalf of our grouplorganization, fat any damage or abase of buildings, <br />grounds; fields, equipment. or other facilities through the use of said premises by our grouWarganiaation. Me agree to abide by and enforce <br />the "Iles and regulations of the City of Colton A certify that we have read the. riles and reguindora listed on the back of this application. <br />Signature of Applicant: <br />oe: ere <br />iltt S {tk p Payment Due Date <br />Approval/Date: Pacility NctitwdlDate: Reservation Fee <br />Se wity Required Cleaning Deposit <br />_ Insurance. Required = it Daae Applicant Notined <br />ti <br />�� _s� t alo 3 Retxipt Number <br />Raauarks, _ <br />Whist: Office Yellow: Facility Green: Maittanance.. Pink: Patron , <br />