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PLEASE NOTE THE FOLLOWING ARE NOT PERMITTED IN OUR PARKS: *NO Bounce House/Jumpers *NO Alcohol *NO Vehicles On The Park *NO Amplified Sound ANAHEIM COMMUNITY SERVICES DEPARTMENT APPLICATION FOR PICNIC SHELTER, RECREATION AREA OR SPECIAL EVENT *Picnic shelters are structures covering specifically designed picnic locations. Picnic areas are defined as open areas which do not include a shelter. Park employees will not move picnic tables. Facility/Location Requested: Picnic Shelter *gathering under 100 people Picnic Open Area *gathering under 100 people Special Event: Gathering of over 100 people Vendor Fair Car Show Fund Raiser Other Date Requested: Day of Week: Hours (Include set-up): /p.m. - Name of Organization: Non-Profit# Commercial Individual Name of Requestor: Address: Phone: ( ) Alternate: ( ) Email Address: Estimated Attendance: Adults Children Percentage of Anaheim Residents: % Is your event a fundraiser? Yes No If yes, what will the funds be used Will this event be catered? Yes No Will you have amplified sound? Yes No *Amplified sound at La Palma Park only. Does your event involve sale of merchandise/food? Yes No If so, what? Will you be bringing any special use items onto the facility? *i.e. dunk tanks, carnival rides, portable restrooms Yes No If yes, what? *Requires approval from the Anaheim Community Services Department. Does your event require: Electrical Access (additional fees will apply) Yes No Vehicle Access Yes No*Vehicle access requires Load/Unload Permit issued by the Anaheim community Services Department. RESERVATION PROCESS 1. Picnic shelters are structures covering specifically defined picnic locations. Picnic areas are defined as open park areas which do not include a shelter. Shelters and open park areas are reservable and subject to appropriate user fees as established in the Anaheim Community Services Department Facility Use Fee Schedule. 2. A completed application must be filed at least TEN (10) working days prior to requested date in order to allow sufficient permit processing and approval. All applications receive after 10 days prior to the event will be assessed a $ 25 permit rush fee. 3. The permit is not valid until all fees have been paid. The balance due must be paid FIVE working days prior to the event and any insurance or other requirements must also be completed at this time. 4. Refunds for charges other than the non-refundable permit fee are available when request of cancellation is made in writing and received by this office at least TEN (10) working days in advance of date of use. Refunds take approximately THREE weeks for processing. 5. Bring the approved Rental Contract to the facility during your reservation in case there are any questions regarding your use of the facility. ---PAGE BREAK--- RULES AND REGULATIONS GOVERNING USE OF PARK FACILITIES 1. It shall be unlawful for any person not having a permit from the Anaheim Community Services Department to refuse or fail to surrender the use of any recreation facility to any person who has a permit for the use of said facility. (Ordinance 13.08.045) 2. There shall be no intoxicants of any type used, nor shall profane language, quarreling, fighting or gambling be permitted. (Ordinance 13.08.020) 3. There shall be no soliciting or sale of merchandise without first obtaining written approval from the Anaheim Community Services Department. 4. Property must be protected from damage and mistreatment and ordinary precautions for cleanliness must be maintained. Groups shall be responsible for the condition in which they leave the facility. In cases where property has been damaged or abused beyond normal wear, the City shall be paid for damages by the organization(s) and person(s) involved. 5. No private vehicles are permitted on park or school premises (other than the parking lot) without first obtaining written approval by the Anaheim Community Services Department. Written approval will be authorized for loading and unloading purposes only. Load/Unload Permits shall be prominently displayed on the dash board of the permitted vehicle at all times while on park premises. 6. Written approval by the Anaheim Community Services Department must be obtained for the following: dunk tanks, carnival rides, and access to water, portable restrooms, or any other unusual equipment. 7. Trampolines, bounce houses, or skateboard ramps, golfing, and animals (other than dogs on a leash) are not permitted. 8. Decorations may not be fastened to picnic shelters with nails, staples, screws or tape. 9. Park use hours are 5 a.m. to 10:30 p.m. I, the undersigned, on behalf of the above mentioned organization; do hereby agree that we will abide by the policies governing the use of the facility as set forth on this application, which includes no alcoholic beverages. I will specifically accept responsibility for any damage to the facility as a result of the occupancy of said premises by our organization. Said premises will be left clean as when organization arrives. I HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS the City of Anaheim, it officers, agents, employees, boards and commissions from any and all claims, liability, damages, loss, or injury to persons or property arising out of or in connection with my use of the facility. Signature: Date: COMMUNITY SERVICES STAFF WILL COMPLETE THIS SECTION: Date Received: Staff Name: Requirements: Insurance Facility Attendant Load/Unload Permit Electrical Access Approved Denied Date: Reason if denied: Specialists/Supervisor Approval: Parks Approval: Comments: Rental # Community Services 200 S. Anaheim Blvd., Suite 433 Anaheim, CA 92805