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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />1� <br />Application For: Banquet Hall Meeting Room Athletic Field Aquatics I�acility Uther <br />Requested Facility(s):FZnm ;n)Q L�. <br />Requested Date(s) (Day/Date): Z - <br />Set -Up Time: to S &ograrn Time: to Clean -Up Time: to % D <br />Group/Organization:E.}.;at= OP Co L7LD.A/ <br />Contact Person:;_ <br />Alternate Contact Person: <br />Address: 2 -1 <br />Address: ' t f e <br />City & Zip Code:6;5Ln <br />City &Zip Code:fi <br />[Home Phone: VZq 020 q <br />Work Phone s- <br />Home Phone: S <br />Work Phone: 7o,7 3ZI, - <br />Estimated Total Event Attendance: <br />— Adults <br />Teens <br />75—. Children <br />Reason for Use: L j i f `A1 V,4L <br />Commviyitv <br />ou*Ie-AC-K <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 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 Pt we have read the rules and regulations listed on the back of this application. <br />Signature of Applicant:kx. c; Date: �o ' <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />