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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Room Athletic Field <br />Other <br />Requested Facility(s): PLLMMIMCi <br />Requested Date(s) (Day/Date): <br />Set -Up Time: -5-bo to !, b Program Time: � 0" to V Clean -Up Time: ; Lt 5 to ; l <br />Group/Organization:WQ <br />Contact Person:AARAW VILLAEJU0 <br />Alternate Contact Person: 20JIA G4 U <br />Address: l I tj S N,Rk"Ht) \ <br />Address: ILj{ ,- <br />City & Zip Code: C L Ga <br />City & Zip Code: CbLc1-L'5Z_LJ <br />Home Phone: 41 $ -l0 tAj <br />Work Phone: rj Vd <br />Home Phone: _ f + <br />1 Work Phone: 5VqQ -1.�q3� <br />Estimated Total Event Attendance: g© Adults Teens 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 II to: P. A. System <br />Additional Request(s): T pmWV1 ON <br />RENTAL AGREE <br />1/We herepy 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 City of Colton and certify that we have read the rules and regulations listed on the back of this application. <br />Signature of Applicant:. Date: &/Z�l 40 <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />