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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 />—�_ — — — <br />Requested Facility(s): <br />Requested Date(s) (Day/Date): <br />Set -Up Time: to P ogram Time: to C an -Up Time: to l <br />Group/Organization: <br />Payment Due Date <br />Contact Person: <br />Alternate Contact Person: <br />Address: 1 <br />Address: I <br />3 <br />City &Zip Cod ti <br />_ Security Required N d k4" <br />City & Zip Code: <br />Home Phone: g!)-C(�6bi <br />Work Phone: <br />Home Phone: <br />Work Phone -Lp-6p3 <br />Estimated Total Event Attendance: Adults Teens Children <br />Reason for Use: \ b u4 e er <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. S stem <br />Additional Request(s): Od-�Ce-t <br />1 <br />RENTAL AGREEMENT <br />I/We here¢y 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,0 said premises by our group/organization. I/We agree to abide by and enforce <br />the rules and regulations of the Cit o on certify t we have read the rules and regulations listed on the back of this application. <br />Signature of Ap 'cant km t 2 Date: <br />(For Office Use Only) <br />Alw:V.. .w.. ia•,.ry � Y '4' i q.N 4 t� ia'4Y .:Tc". <br />Payment Due Date <br />Approval/Date: Facility Notified/Date: <br />Reservation Fee <br />_ Security Required N d k4" <br />Cleaning Deposit <br />r <br />Insurance Required v <br />Date Applicant Notified <br />ri. <br />Receipt Number <br />Copies <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />