Item #8 Permit/Fleming Park - Laserfiche WebLink

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City of Colton Parks, Recreation & Family Services Department APPLICATION FOR FACILITY RESERVATION Application For: Banquet Hall Meeting Room Athletic Field Aquatics tacility Other Requested Facility(s): Requested Date(s) (Day/Date): s;T.-�ja CCH Set -Up Time:�O to "4 � Program Time: �Q to C) 0 Clean -Up Time: 000 to tb Z-0 Group/Organization: PY'Swal Wd&no ULemon Contact Person: %'J�s Alternate Contact Person: M� Address: ` �� ` --� , -� Address: w\- q , . City & Zip Code: City & Zip Code: a `a�-H Home Phone:SD;,jj L'G.5 Work Phone: Home Phone:$)sSb,-� q Work Phone: Estimated Total Event Attendance: a 010 Adults Teens "T5 Children Reason for Use: \J) e A A j Equipment/Services Requested: # of Tables Athletic Lights Field Preparation (subject to availability) # of Chairs times: from: pm Bases Kitchen/Concessions to: pm __!&*P.A. System %/Additional Request(s):i LAU RENTAL AGREEMENT I/We hereby certify that we shall be personally responsible, on behalf of our group/organization, for any damage or abuse of buildings, grounds, fields, equipment, or of facilities through the use of said premises by our group/organization. I/We agree to abide by and enforce the rules and regulations of the lty f Colton a d c rti that we have read the rules and regulations 1'sted n the back of this application. Signature opp f Applicant: Date:Z)03 !i`^" nfr., .o T Tvo lh,lvl White: Office Yellow: Facility Green: Maintenance Pink: Patron rFA Payment Due Date a�h��als Approval/Date: Facility Notified/Date: Reservation Fee °�� `� � �" Security Requiredq` . ;� Cleaning Deposit Insurance Required Date Applicant Notified PP ZZO _ Receipt Number` Copiesx - Staff Initials/Date A�r� White: Office Yellow: Facility Green: Maintenance Pink: Patron rFA