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McCullough Rodeo Arena Located inside Petrack Park 150N Hwy 160 Pahrump, NV 89060 Town of Pahrump 2100 E Walt Williams Dr #100 Pahrump, NV 89048 Phone: [PHONE REDACTED] xl [EMAIL REDACTED] McCullough Rodeo Arena Reservation Request Form Organization Name: Live A Little Address: 111 N 3962 E Rigby, ID. Phone: [PHONE REDACTED] Contact: Kaedon L. Berry Contact Phone: [PHONE REDACTED] Best Email: [EMAIL REDACTED] Projected Attendees: 3000-3500 Event Description: Monster Truck Insanity Tour (Professional Monster Trucks and other professional motorsports entertainment acts. Event Dates: May 6-7, 2022 Event Times: 7pm (Doors 5prn/Pit Party 5:30pm Please select the options below that will apply to your upcoming event: Concession Stand (Non-Food) YES FEE DESCRIPTION $lOx Non-profit user fee (per day) x $20x Forprofituserfee(perday) Concession Stand (Food) YES FEE DESCRIPTION X $20 Screen Cleaning (Non-refundable) Non-profit user fee (Fee PLUS 10% of net profit) x For profit user fee (Fee PLUS 20% of net profit) SECURIV,’ DEPOSITS: YES FEE DESCRIPTION X $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 x $15 x 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: YES x x FEE DESCRIPTION $200 Cleaning Deposit $200 Damage Deposit TOTAL $60 TOTAL $650 ---PAGE BREAK--- McCullough Rodeo Arena Reservation Request Form A Certificate of Liability Insurance naming the Towii 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 en your insurance policy BY THIS FORM, I AGREE TO THE FOLLOWING: -l will behave responsibly in accordance with all the Pahrunip 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, hack 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. Kaedon L. Berry 11.15.21 Signature Date For Office Use Only: Reviewed by Pahrump Arena Advisory Committee: This event has beenEJAPPROVED /flDENIED by Pahrump Arena Advisory Committee Committee Comments: