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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />For: _ Banquet Hall _ Meeting Room Athletic Field <br />Requested Facility(s): l E to ( m (u R <br />Requested Date(s) (Day/Date): 5 wr V .2 6.0 o 3 Ate. ,�, zajc3 <br />Set -Up Time: to ,pp AAL' I Program Time: 9: 3 0' to * 30 P$(. Clean -Up Time: #r 3L)tjA to ;jd <br />Group/Organization: up <br />G <br />O F <br />0[) OF 7-46 )PRO F E C <br />Contact Person: <br />hh <br />L A M E <br />� <br />! R E <br />Alternate Contact Person5,file6do <br />Address: P. <br />0. O x <br />g <br />$ <br />Address: 22260 v .Z /Z <br />City & Zip Code: <br />4'p T O ni <br />C >9 0 <br />9 2 <br />2 <br />-�M <br />City & Zip Code: /� ce . qZ 3 <br />Home Phone: <br />-22 9 Z) <br />I Work Phone: <br />Home Phone: 625—J2t: <br />I Work Phone: <br />Estimated Total Event Attendance: /00 Adults 50 Teens —IT -0— Children <br />Reason for Use: M V 6 j cA- d, GO N GU IQ Tt�" C h R 1 S T ! Iq,V <br />Equipment/Services Requested: <br />(subject to availability) <br /># of Tables <br /># of Chairs <br />_ Kitchen/Concessions <br />Additional Request(s): <br />Athletic Lights <br />times: from: <br />to: <br />RENTAL AGREEMENT <br />Field Preparation <br />pm _ Bases <br />pm _ P.A. System <br />1/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 City of Colton and certify that we have read the rules and regulations listed on the back of this application. <br />0 <br />Signature of Applicant: t f Date: d $ O (;/J- O 03 <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />