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CITY OF BELGRADE- PAVILION RESERVATION APPLICATION 91 E CENTRAL AVE- BELGRADE MT 59714 - [PHONE REDACTED] APPLICANT INFORMATION Contact Name: Organization/Group Name: Mailing Address: Phone (cell): Phone (home): Phone (work): Email: EVENT LOCATION - PAVILIONS Askin Park: North West South Kathy Park: Lewis & Clark Park: East, Splash Lion’s Park: Prairie View Park: Senior Center Park: Ryen Glenn Park: Time of reservation: 9 am to 3 pm: 4 pm to 9 pm: 9 am to 9 pm* *double reservation fee EVENT INFORMATION Type of event: Date of event: Detailed nature of event: Will alcohol be served? (check one): Yes: No: Anticipated attendance*: park use permit is required if attendance is over 50) Private event: or Public event: RENTAL FEES AND CHARGES/ADDITIONAL INFORMATION Initial next to each item: **Payment is required before the pavilion will be booked** Non-refundable reservation fee of $40 for residents of the Parks & Recreation District and $60 for all other users per time slot per day. A deposit of $50 is required and will be refunded after the park facility has been cleaned. Costs incurred by the City of Belgrade for cleaning and all damage caused by the event in excess of the deposit will be billed to the Applicant. Nails, staples, and similar hardware shall not be used to attach decorative material to trees, walls, or ceilings. Decorations must be removed immediately after use. Except as authorized by the City of Belgrade, it is prohibited to drive on the park or use any public address system, loudspeaker, or other sound-amplifying device in any park. Glass is prohibited. As a matter of policy, law, and commitment, the City of Belgrade does not discriminate on the basis of race, color, sex, marital status, sexual orientation, political ideology, age, creed, religion, ancestry, national origin, or presence of any sensory, mental, or physical handicap. By signing the document, I take full responsibility for every participant of the event. I have read and agree to the terms and conditions outlined in the application, and I will follow the rules and requirements. Applicant: Date: Issued by: Date: Office use only: Post event cleaning/damage inspection: OK by: Date paid: Receipt Refunded PO Date mailed: Check returned Check deposited Signature Copies: Office Customer Police PW In Calendar: