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CP PAL1MP Town of Pahrump 2100 E. Wait Williams Drive. Suite 100 Pahrump, NV 89048 Phone: [PHONE REDACTED] Pahrump McCulloch Rodeo Arena Organized Events Agreement ORGANIZATION NAME: jC. ADDRESS: 1- if 2oQ PHONE Z q \ 222 CONTACT NAME: P CONTACT PHONE: EMAIL: TtOJO C1cA cx— Please tell us a little about your organization: 3 e4eC T-iJAI (ucu c\oIs U U\ ftKL ç\ tcoi\&t 24)-i - I\!o Number of Expected Participants: Uv Requested Months! Days! Times: C — ‘ Please indicate which part of the arena you will be using: ARENA 0 HORSE STALLS 0 BUCKING SHOOTS 0 CONCESSION STAND 0 ANNOUNCEMENT STAND 0 A Certificate of LiahIli Insurance naming the Town of Pabrump as (.ertiticate Holder or as Additionally Insured is MANDATORY Please submit a copy of your 1iabili’ insurance with this lhrm. if you are going to be using the Bucking Shoots. this MUST he on your insurance policy. The Pahrump Arena Advisory Committee must approve your use of the facility before your reservation will be scheduled with the Town of Pahrump Office. Amount Security Deposit: ---PAGE BREAK--- 4 kJMP Town of Pahrump 2100 E. Walt Williams Drive, Suite 100 Pahrump, NV 89048 Phone: [PHONE REDACTED] BY SIGNING THIS FORM, I AGREE TO THE FOLLOWING: -I will behave responsibly in accordance with all of the Pahrump McCulloch Rodeo Arena rules as posted. Each group is responsible for leaving the Pahrump McCulloch 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 Palwump McCulloch Rodeo Arena at my own risk and do not hold the Town of Pahrump responsible for any damaes and or injuries. / 7/f;’ I Signatfe Date U/ (For Office Use Only) Payment Received Date Received: Credit - Approved by the Pahrump Arena Advisory Committee NO - Submitted to the TOP Buildings and Grounds Department YES NO Date - Submitted to the Town of Pahrump Office YES NO Date r i/ ---PAGE BREAK--- 4; PA4ñiMP NVADA Town of 2100 E.WaIt Williams Drive, Suite 100 Pahrurnp, NV 89048 Phone: [PHONE REDACTED] Major Event Rental Agreement Event Title: TQfI vCuU Organization Name: .iC Type of Event: (ACC Event Time(s): T(3 0 Contact Name: t ‘3J-ri PSS Alternative Phone Contact’s Address: .jO Location: 7J/ (iOt’() Special Request: Will this beaO overnight event: Yes No Will anyone be Selling/Serving Alcohol Yes No Received by TOP affMembe%9J/___- flat: - - Event Date(s): — -1 Telephone: O2 S 2.L(2 &;k4’ & dii21X; dV. IUU J4’Zi Projected Number of Attendees: é.iO F Applicant Signature: Date: - 319