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Town of Pahrump 2100 E. Walt Williams Drive, Suite 100 Pahrump, NV 89048 Phone: [PHONE REDACTED] Pahrump Community Parks Organized Events Field Rental Agreement ORGANIZATION FAX: CONTACT NAME: CONTACT PHONE: EMAIL: - - - - - - - - - - - - - - - The Pahrump Parks and Recreation Advisory Committee must allocate your field use before you will be scheduled with the Town Office. Has the PAHRUMP PARKS AND RECREATION ADVISORY COMMITTEE allocated these fields for your use? ____YES Please tell us a little about your organization: Number Of Expected Participants: Requested Months / Days / PLEASE INDICATE WHICH PARK YOU WILL BE USING: $25.00 Reservation Fee / Per Field Petrack Park: Field Field Field Ian Deutch Memorial Park: Field Field Field Field Simkins Park: Baseball Field Grass Field A Certificate of Liability Insurance naming the Town of Pahrump as Certificate Holder or as Additionally Insured is required. Please submitt a copy of your liability insurance with this form. Is the Concession Stands needed for your organization: If you plan on using the Concession stands for any events there is a $100 dollar deposit required. ---PAGE BREAK--- Town of Pahrump 2100 E. Walt Williams Drive, Suite 100 Pahrump, NV 89048 Phone: [PHONE REDACTED] DEPOSIT: $300 REFUNDABLE IF PARK AREA IS CLEANED AND NOTHING IS BROKEN OR DAMAGED. This deposit shall be in the form of a check or money order, payable to the Town of Pahrump. Deposit must be submitted to the Town Office. If not received, the event is subject to cancellation. EVENT WILL NOT BE POSTED TO THE CALENDAR UNTIL DEPOSIT IS RECEIVED. BY SIGNING THIS FORM, I AGREE TO: -Behave responsibly in accordance with all park rules as posted. Each group is responsible for leaving the park area in the order in which it was found, picking up trash and taking all items that were brought in, back out. -Complete any required vendor paperwork should there be any intent to sell food, alcohol, or merchandise at the event and supply it to the Town Office no later than five days prior to the event. Signature Date