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2005 AGN MAY 03 I05
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2005 May 03 Agenda Packet
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2005 AGN MAY 03 I05
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2/24/2014 12:42:03 PM
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City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />For: Banquet Hall <br />Requested Facility(s): <br />Requested Date(s) (Day/Date): <br />Room <br />Set -Up Time: 5: W to l : 00 I Program Time: -` 1 CD to 10. 3D I Clean -Up Time: b•,� to 1 I `,[D <br />Group/Organization: (nFNSoiCeSf' e Moja In <br />Kt, <br />Contact Person: <br />qa <br />Q v <br />Alternate Contact Person: <br />Address: 0 obuun L/ <br />Address: U-70 OOL400 <br />City & Zip Code: <br />Security Required <br />Cleaning Deposit <br />City & Zip Code: (-�DQ� <br />Home Phone: <br />Work Phone: �TJL)o L,p <br />Home Phone: Work Phone: <br />Estimated Total Event Attendance: ✓Ll Adults -f�L Teens O Children <br />Reason for Use: <br />Equipment/Services Requested: # of Tables _ Athletic Lights _ Field Preparation <br />(subject to availability) # of Chairs times: from: pm _ Bases <br />_ Kitchen/Concessionsn to: pm _ P.A. System <br />R <br />Additional Request(s): �E� It c-1 f1Y'I�1 <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 rcerttify/ that we have read the rules and regulations listed on the back of this application. <br />Signature of Applicant: j1 V lAt 1X.(' 1 Date: <br />(For nfnee Ilse Onlv) <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />Payment Due Due Date <br />Approval/Date: Facility Notified/Date: <br />Reservation Fee <br />Security Required <br />Cleaning Deposit <br />Insurance Required "" ^"_ `.; aa• <br />Date Applicant Notified <br />Receipt Numbera`a <br />Copies <br />Staff Initials/Date <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance Pink: Patron <br />
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