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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 />Requested Facility(s): L &-/-I ti- <br />Requested <br />nRequested Date(s) (Day/Date): tJ <br />Set -Up Time: S to 6p P q Program Time: PI to y Clean -Up Time: � P. y to rt . � Af <br />Group/Organization: <br />Contact Person: <br />Alternate Contact Person: <br />Address: f k 3 <br />tJ A L -/Z J 5- <br />Address: 2-7 <br />City & Zip Code: <br />,+L 0 (--.4 �7-3 74 <br />City & Zip Code: <br />Home Phone: 8 % <br />_l y(3 <br />Work Phone: S/ � - Yd 3AHome <br />Phond• <br />Work Phone: <br />Estimated Total Event Attendance: Adults Teens 2,57 Children <br />Reason for Use: fi <br />Equipment/Services Requested: Ma # of Tables f -Athletic Lights _ Field Preparation <br />(subject to availability) F # of Chairs times: from: pm _ Bases <br />Kitchen/Concessions to: pm _ P.A. System <br />AdditionalRequest(s): P6%- SY57�rrts <br />RENTAL AGREEMENT <br />I/We hereby certify that we shall be personally responsible, on behalf of our grouplorganization, for any damage or abuse of buildings, <br />grounds, fields, equipment, or other facilities through the use of said premises by our grouplorganization. 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: J/f"Date: 3 d <br />T <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />