2004 AGN MAY 04 I14 - 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 Facility _ Other Requested Facility(s):Ml 7� Requested Date(s) (Day/Date): QLt c Set -Up Time: 3lJ to - Y -t e� Program Time: (� 3Y1 to (Q, l� Clean -Up Time: 10 to Woe Group/Organization: (1�'-7-o4 abr--,t--1 AQ It sEe-Q Lo -e"5 Contact Person: S-1 m -i Alternate Contact Person: Address:` �j5 �iZ Address: City & Zip Code: Payment City & Zip Code: Home Phone: Work Phone: Y- Home Phone: Work Phone. Estimated Total Event Attendance: Adults Teens Children Reason for Use: /-6,11e /'J 4e- ()26 &VZ-T— 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): 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 other facilitiesthr ugh the use of said premises by our group/organization. I/We agree to abide by and enforce the rules and regulations of the City of Colton an ert y th a hav ead ules and regulations listed on the back of this /application. Signature of Applicant: / Date: C9 (For Office ITse Onlv) Remarks: White: Office Yellow: Facility Green: Maintenance Pink: Patron Due Date Payment Approval/Date: Facility Notified/Date: Reservation Fee � .4., ss" o k� _ Security Required s ��z Cleaning Deposit sit ME - _ Insurance Required Date Applicant Notified h Receipt Number Copies Staff Initials/Date Remarks: White: Office Yellow: Facility Green: Maintenance Pink: Patron