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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 Rental Agreement ORGANIZATION PHONE: FAX: CONTACT NAME: CONTACT PHONE: EMAIL: - - - - - - - - - - - - - - - HAS PARKS AND RECREATION ALLOCATED THESE FIELDS FOR YOUR EVENT? ____YES Parks and Recreation must allocate your filed use before you will be scheduled with the Town Office. NUMBER OF EXPECTED PARTICIPANTS: Does a Certificate of Liability Insurance naming the Town of Pahrump as Certificate Holder or as Additionally Insured need to be submitted? YES NO Overnight Permit Approved? YES NO Number of Overnight Permits Required: PLEASE INDICATE WHICH PARK YOU WILL BE USING: $25.00 Fee Petrack Park Ian Deutch Memorial Park Simkins Park Field1____ Field Field Field Special Requests: Is electricity needed: YES NO Will anyone be selling food or alcohol? YES NO Is the Concession Stands needed for your event: If you plan on using the Concession stands for any event there is a $100 dollar deposit required. 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 CALANDER 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