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CITY OF JEROME PARKS FACILITY RESERVATION APPLICATION 152 East Avenue A Jerome ID 83338 Phone: (208) 324-9669 For issues after regular business hours please call non-emergency dispatch (208)324-1911; the on-duty Public Works staff will be contacted to assist you. Limited shelters are available to reserve at the following parks: Idaho Central Credit Union Park, Veteran's Memorial Park, Shepherd's Park, Camozzi Park, and A Street Park. Reservations are not confirmed until a completed form is received at the Jerome City Hall Utility Office at least seven working days prior to the event. A non-refundable application fee of $25 shall accompany this reservation form. A refundable park use fee of $300 will also be required at the time the application is submitted for those events meeting two or more of the following: a. Any event reserving more than one shelter, including the amphitheater at ICCU Park b. Any event lasting more than 3 hours c. Any event involving commercial sales of goods or services of any kind Applicant: Today’s Date: Address: Phone: Facility Information Park(s) Requested: Event Description: Date(s) of Event: Time Requested: Number of Shelters and or tables required: Details on Your Event (Please check all that apply) Food Concessions/Vendors Catered Food Broadcast Music/Sound Live Band Canopies/Tents Alcohol (PERMIT IS REQUIRED) Vehicles on lawn (PERMISSION REQUIRED) Open to the Public? Electricity needed Animals Additional Porta-potties and/or dumpsters Security and noise abatement arrangements Merchandise Vendors Road closures (permission required) Other (please list) Please read the following, sign, and date: The above named applicant/organization, in consideration of its use of the city’s park and facilities, agrees to the following provisions: 1. Agrees to release, indemnify and defend the City of Jerome and its agents, employees, and representatives from any and all claims, demands, or lawsuits arising out of the applicant’s/organization’s use of said facilities. 2. For events requiring more than one shelter, applicant shall attach proof of the placement of public liability insurance in an amount not to exceed the single limit coverage of at least $500,000 of which policy the City of Jerome has been made an additional insured. Applicants wishing to have a Bounce House must provide proof of liability insurance for said Bounce House. Number of attendees: Length of activity: Tashina Robinson & Matthew Cardona Tashina Robinson & Matthew Cardona 09/30/2025 09/30/2025 115 W Ave I apt 4 Jerome, ID 83338 115 W Ave I apt 4 Jerome, ID 83338 [PHONE REDACTED] [PHONE REDACTED] Iccu park and amphitheater Iccu park and amphitheater Wedding Wedding 10/18/2025 10/18/2025 12-6 pm 12-6 pm 50-75 ---PAGE BREAK--- 3. No alcohol is allowed in any city park without a catering permit from a licensed dispenser and prior approval from city council. 4. All dogs must be leashed at all times in all city parks, and dog waste must be picked up immediately. 5. 6. 7. All trash is to be placed in the provided receptacles. Any damage must be reported immediately. Commercial events or those requiring more than one shelter will need to secure additional receptacles. N o vehicles a r e t o b e driven on the grass without prior permission and marking by city personnel. No stakes are to be driven into the grass; large toys or equipment must be reviewed by the public works department prior to approval. Damage caused by unauthorized stakes into the grass will be the responsibility of the reserving party. 8. Security and/or noise abatement arrangements must be made in advance. 9. No chalk or paint allowed in any part of the premises at any time (i.e. on grass, sidewalks, walls, tables, etc.) including amphitheater. Authorized applicants signature Date Unless otherwise specified, reservations are for use of the tables/covered shelters only. The remainder of the park is open to the public. Tashina Robinson 09/30/2025 ---PAGE BREAK--- This Permit is hereby issued in the name of: To conduct the following activity (exact nature of activity) at (name and location of park) for a period commencing the day of , 20 , and ending the day of , 20 , during the hours of: . DATED THIS DAY OF , 20 . APPROVED BY COUNCIL THIS DAY OF , 20 . City Clerk The following criteria must be met for events requiring a $300 refundable deposit; refunds are issued at Park Supervisor's discretion: Additional garbage receptacles provided Additional portable restrooms provided Park left clean and in reusable condition