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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Requested Facility(s): <br />Date(s) <br />Set -Up Time: l 0:00 to / / OOpr„ • I Proms Time: 12:. to A , w, ' I Clean -Up Time: -q a_ m 'to 5•� m. <br />Group/Organization 1 i A.(2,- <br />Contact Person: S' S a e' ° <br />Alternate Contact Person: <br />jVelk <br />Address: nLl <br />Address: <br />City & Zip Code: d J 00 m l/'/ t7al� <br />City & Zip Code: � <br />OV1--%G-K\ 0., <br />Home Phone: qbq- _ -7 <br />Work Phone: <br />Home Phone: 12-42-14AWork <br />Phone: <br />Estimated Total Event Attendan Ie: %��Adults &LAb Teens —WAChildren <br />Reason for Use: YQ'm JWW / 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 />I IMI-iMMM31*T Y <br />Field Preparation <br />pm _ Bases <br />pm _ P.A. System <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 group/organization. I/We agree to abide by and enforce <br />the rules and regulations of the Cityofcertify at e ( e/r�eadd the Hiles and regulations listed on the back of this application. <br />Signature of Applicant: �— i//' �"K�' Date: 03 <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />