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McCullough Rodeo Arena Located inside Petrack Park 150 NHwy 160 Pahrump, NV 89060 Town of Pahrump 2100 E Walt Williams Dr #100 Pahrump, NV 89048 Phone: [PHONE REDACTED] xl TownOfficepahrumpnv.org McCullough Rodeo Arena Reservation Request Form Organization Name: Pahrump Valley Obedience Club (PVOC) Address: PD Box 1483, Pahrump, NV 89041 Phone: [PHONE REDACTED] Contact: Marianne England Contact Phone: [PHONE REDACTED] Best Email: jmengland2000yahoo.com Projected Attendees: 100-150 Event Description: PVOC Obedience and Rally Dog Trial Event Dates: October 28, 29 & 30, 2022 Event Times: 7am - 6pm daily Please select the options below that will apply to your upcoming event: SECURITY DEPOSITS: YES FEE DESCRIP11ON $250 Deposits: Cleaning (Refundable) $200 Livestock Pens (Refundable) $25 Racetrack (cleaning-refundable) $500 Timers (Refundable) $1,000 Announcing Equipment (Refundable> $500 mm Rough Stock (Refundable) $250 Timed event (Refundable) $1,500 Damages (Refundable) Concession Stand (Non-Food) YES FEE DESCRIPTION $10 Cleaning Deposit (Refundable) $20 Damage Deposit (Refundable) Concession Stand (Food) FEES FOR USE: YES FEE $15x TBD DESCRIPTION Arena Reservation Fee (Non-refundable) Non-profit user fee (Arena Fee PLUS 10% of gate fees) For profit user fee (Arena Fee PLUS 20% of gate fees) Horse Stalls - Per horse/per day (Non-refundable) Changes to facility (Non-refundable) Details: Concession Stand (Non-Food) YES FEE DESCRIPTION $lOx Non-profit userfee (perday) $20x For profit userfee (per day) Concession Stand (Food) YES FEE DESCRIPTION X $20 Screen Cleaning (Non-refundable) Non-profit user fee (Fee PLUS 10% of net profit) For profit user fee (Fee PLUS 20% of net profit) TOTAL $20.00 YES x x FEE DESCRIPTION $200 Cleaning Deposit $200 Damage Deposit TOTAL $$400.00 ---PAGE BREAK--- McCullough Rodeo Arena Reservation Request Form A Certificate of Liability Insurance naming the Town of Pahrump as Certificate Uolder or as Additionally Insured is MANDATORY Please submit a copy of your liability Insurance with this form, ifyou are going to be using the Backing Shoots, this MUST be on your insurance policy BY SIGNING THIS FORM, I AGREE TO THE FOLLOWING: -l will behave responsibly in accordance with all the Pahnimp McCullough Rodeo Arena rules as posted. Each group is responsible for leaving the Pahnimp McCullough Rodeo Arena in the order in which it was found, picking up trash and taking all items that were brought in, back out. -l will maintain my general liability insurance policy throughout the entire duration of the approved reservation and will have rough stock added to my policy, if applicable. -I understand that I am using the Pahrump McCullough Rodeo Arena at my own risk and do not hold the Town of Pahrump responsible for any damages and or injuries. Signature Date For Office Use Only. Reviewed by Pahrump Arena Advisory Committee: This event has been OAPPROVED /D DENIED by Pahrump Arena Advisory Committee Committee Comments: