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Walton County Parks & Recreation Department Facility Rental Form Agreement / Release I understand that: 1. athletic fields require the following fees & deposits; 2. Insurance coverage in the amount of $1,000,000 per occurrence, with aggregate coverage in the amount of $2,000,000. (Section IV, Special Event Policy) 3. a staff member(s) must be on duty during the event as outlined in the rental policy. The deposit is refundable if the facility and surrounding area are left clean and undamaged. The application fee, deposit, field rental fee, marking fee, reservation form, and insurance policy must be submitted at booking. Other fees (staff, Tur-Face, concessions etc…) are due following the event. Fee Structure Deposit: $250 Per Event Application Fee: 10% of Rental Fee Non Tournament 1 to 4 Hours ($100 per Court / Field) Marking Fee: $200 per Field (Football & Soccer) Rental Fee: 5 or More Hours ($200 per Court / Field) Staff Fee: $20 Per Hour Tournament Rental Per Grouping Per Day: *One staff member per 3 fields / courts Criswell Park (CP)………….….$250/Field* *Choose Any 3 or More Fields Tur-Face: $10 Per Bag Felker Park (FP1)………………$500 Felker Park (FP2)………………$500 Concession Fee: $250 Per Day Felker Park (FP3)………………$500 Felker Center Cancellation Fee: Meridian Center 15 Days Or More – Application Fee is not refunded. Nowell Center Less than 15 Days – 50% of All Fees West Walton Park (WW1)…….$1,000 Are Not Refunded West Walton Park (WW2)…….$1,000 West Walton ParK (WWFB)…..$500 South Walton South Walton South Walton I understand that I am responsible for the facility used. I agree to leave the facility in the same condition as it was found. I agree to pay for any physical damages to the property which may occur during the period of time which I am using it. I agree to turn-off all lights, water, dispose of debris, etc. before leaving. I am aware that alcoholic beverages are not allowed on property owned and operated by the Walton County BOC Parks & Recreation Department. I hereby waive, release, absolve, indemnify, and agree to hold harmless the Walton County BOC Parks & Recreation Department from any and all liability arising out of any injuries or loss suffered by myself or a member of my party which may occur during the use of said facility. I, and the organization I represent, agree to comply with, and be subject to, the Special Events Policies and Procedures for Walton County Recreational Facilities. The Walton County BOC Parks & Recreation Department reserves the right to withdraw this agreement due to: 1. Scheduling Difficulties - Given one week notice, individuals or organizations will have to make other arrangements for facility use. 2. Weather Conditions – Tournaments / games may be canceled due to weather conditions which may cause damage or injury to participants, spectators, or fields. Organization (print) Individual or Representative (print) Signature Date (please complete reverse side) ---PAGE BREAK--- Reservation Information Facility Field Groupings _____Criswell Park (CP) Field #1 #2 #3 #4 #5 #6 #7 _____Felker Park (FP1) Field #1-FB #2-FB _____Felker Park (FP2) Field #3-SC #4-SC _____Felker Park (FP3) Field #5-SC #6-SC _____Felker Center (FC) Gym #1 _____Meridian Center (MC) Gym #1 #2 _____Nowell Center (NC) Gym #1 #2 _____West Walton Park (WW1) Field #1 #2 #3 #4 _____West Walton Park (WW2) Field #5 #6 Legion Field #8 _____West Walton Park (WWFB) Field #1-FB #2-FB _____South Walton Park (S1) Field #1 #2 #3 _____South Walton Park (S2) Field #4 #5 _____South Walton Park (S3) Field #1-FB/SC #2-FB/SC #3-FB/SC Date / Time of Event Time: / PM - / PM Time: / PM - / PM Time: / PM - / PM Event (give full description) Individual / Organization Information (print) as on check or money order) Office Use Only Liability Insurance Policy:_____(copy attached) Drivers License:_____(copy attached) Application Fee: Deposit: Rental Fee: Additional Rental Fee: Marking Fee: Balance Due: Deposit: _____cash _____check _____money order Receipt Received Balance Paid: _____cash _____check _____money order Receipt Received ---PAGE BREAK--- Walton County Parks & Recreation Department Facility Rental Form – Post Event Fees Staff Fee: Hours x $20 x Staff Members Total: Tur-Face Fee: Bags x $10 Total: Concessions: $250 Per Day x Days Total Balance Due: Balance Paid: Cash Check Money Order Receipt Received Deposit Refunded: Check Date: Receipt Received