Laserfiche WebLink
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): F7LZ rn jyjPAR. S E L <br />Requested Date(s) (Day/Date): A S 2 9 2 0 OLq <br />Set -Up Time: to m Program Time: to q P Clean -Up Time: 9 m to 10 P m. <br />Group/Organization: � S iWm C� 4�`l is illmD <br />V� ny' ►` D � �t1)�'[ `, tQ L � �u�'�G� <br />�. Cc �-x'0111 <br />Contact Person: <br />F ?.q. Pi .Z <br />Alternate Contact Person: Kqas b <br />Address: 1.� <br />: AJ <br />Address: M5 PeprjfpLmrn <br />City & Zip Code: <br />Co U-roh-s - q-2'7- <br />Cleaning Deposit <br />City & Zip Code: C©bt-ow <br />Glq_ I -) 2-32-q <br />Home Phone9b <br />�y- Work Phone: <br />2 A ` <br />Home Phone: ., Ll A <br />Work Phone:- 31{ <br />Estimated Total Event Attendance: Adults Teens Children <br />Reason for Use: ' l L; NS UIgL (-omt112n!1Y <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 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 --Z5 -0 T <br />Wnr f1ffiea 11ca (lnlvl <br />;'"��p„ ', z <br />wm� <br />v , . <br />Payment Due Date <br />Approval/Date: <br />Facility Notified/Date: <br />Reservation Fee <br />Security Required� � �.�t� led, � � y°'� �`'� `� �� �� <br />Cleaning Deposit <br />Insurance Required �`erified�;F� r, <br />Date Applicant Notified <br />a <br />- <br />Receipt Number <br />y <br />Copies` <br />- <br />Staff Initials/Date <br />�R r <br />¢ .. <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />