Full Text
Town of Pahrump 2100 E Walt Williams Dr #100 Pahrump, NV 89048 Phone: [PHONE REDACTED] x1 [EMAIL REDACTED] McCullough Rodeo Arena Located inside Petrack Park 150 N Hwy 160 Pahrump, NV 89060 McCullough Rodeo Arena Reservation Request Form Organization Name: Address: Phone: Contact: Phone: Best Email: Projected Attendees: Event Description: Event Dates: Event Times: Please select the options below that will apply to your upcoming event: FEES FOR USE: YES FEE DESCRIPTION YES FEE DESCRIPTION Arena Reservation Fee (Non-refundable) $250 Deposits: Cleaning (Refundable) Non-profit user fee (Arena Fee PLUS 10% of gate fees) $200 Livestock Pens (Refundable) For profit user fee (Arena Fee PLUS 20% of gate fees) $25 Racetrack (cleaning-refundable) $15 x Horse Stalls - Per horse/per day (Non-refundable) $500 Timers (Refundable) TBD Changes to facility (Non-refundable) Details: $1,000 Announcing Equipment (Refundable) $500 min Rough Stock (Refundable) $250 Timed event (Refundable) $1,500 Damages (Refundable) YES FEE DESCRIPTION $10 x Non-profit user fee (per day) YES FEE DESCRIPTION $20 x For profit user fee (per day) $10 Cleaning Deposit (Refundable) $20 Damage Deposit (Refundable) YES FEE DESCRIPTION $20 Screen Cleaning (Non-refundable) YES FEE DESCRIPTION Non-profit user fee (Fee PLUS 10% of net profit) $200 Cleaning Deposit For profit user fee (Fee PLUS 20% of net profit) $200 Damage Deposit TOTAL TOTAL Concession Stand (Non-Food) Concession Stand (Food) SECURITY DEPOSITS: Concession Stand (Non-Food) Concession Stand (Food) ---PAGE BREAK--- McCullough Rodeo Arena Reservation Request Form A Certificate of Liability Insurance naming the Town of Pahrump as Certificate Holder or as Additionally Insured is MANDATORY. Please submit a copy of your liability insurance with this form, if you are going to be using the Bucking Shoots, this MUST be on your insurance policy BY SIGNING THIS FORM, I AGREE TO THE FOLLOWING: -I will behave responsibly in accordance with all the Pahrump McCullough Rodeo Arena rules as posted. Each group is responsible for leaving the Pahrump McCullough Rodeo Arena in the order in which it was found, picking up trash and taking all items that were brought in, back out. -I 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 APPROVED / DENIED by Pahrump Arena Advisory Committee Committee Comments: SIGN