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Anaheim Community Services Department APPLICATION FOR USE OF ATHLETIC FACILITIES Facility/Field Requested: *Please complete one application per field* Baseball/Softball: Soccer/Football/Rugby/Cricket: Other: Name of Organization: Non-Profit Number Applicant’s Name: Address: City: Zip: Email Address: Phone: Additional days, dates and times requested: Estimated Attendance: Adults Children Percentage of Anaheim Residents: % Does your event require (additional fees will apply): Bases Yes No Goals Yes No Field Prep Yes No Vehicle Access Yes No**Vehicle access requires Load/Unload Permit issued by the Anaheim community Services Department. Is your event a fundraiser? Yes No If yes, what will the funds be used for? Is this event open to the public? Yes No Does your event involve sale of merchandise/food? Yes No If so, what? RESERVATION PROCESS 1. A completed application must be filed at least 2 weeks (14 days) days prior to requested date in order to allow sufficient permit processing and approval. All applications received after 10 days prior to the event will be assessed a $ 25 permit rush fee. 2. 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. 3. 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. 4. Bring the approved Rental Contract to the facility during your reservation in case there are any questions regarding your use of the facility. DAY DATE(S) TIME(S) Monday / / to / / : am/pm to : am/pm Tuesday / / to / / : am/pm to : am/pm Wednesday / / to / / : am/pm to : am/pm Thursday / / to / / : am/pm to : am/pm Friday / / to / / : am/pm to : am/pm Saturday / / to / / : am/pm to : am/pm Sunday / / to / / : am/pm to : am/pm ---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, 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 6 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 # Anaheim Community Services, 200 S. Anaheim Blvd., Anaheim, CA 92805* (714) 765-4984, Fax (714) 765-5223