Laserfiche WebLink
] <br /> APPLICATION FOR LIONS PARK CENTER <br /> FACILITY <br /> USE <br /> <br />Recreation <br />Depm-xment <br /> <br /> Applications are to be submitted to Elk River Recreation, 1104 Lions Park Drive NW at least 14 days prior to the first date requested in <br /> order to allow processing time. Some requests may require additional time for review. £fmaka'ng app£cation as a non-pmfitgmup, pkas~ supp~ <br /> proof of status with appication. Pkase make checkspayabk to th~ City of Elk l~'ver. Dq)odts over $100 must be made ~ certified check, mong order or creda't <br /> card~ <br /> <br />PLEASE CHECK DESIRED SPACES <br /> <br />Lions Park Center Spaces <br /> <br />~ Meeting Room ~ Main Kitchen <br /> Attached Shelter with Interior Bathrooms <br /> <br />Additional Spaces Available at Lions Park - See Park Use form for policies and fees <br /> <br /> Bandshell __ Shelter #1 <br /> Ball Field ~ Shelter #2 <br /> Park <br /> <br />Serving Kitchen - no appliances <br />Attached Shelter <br /> <br />Shelter #3 <br />Shelter #4 <br /> <br />PLEASE COMPLETE THE FOLLOWING <br />Renter/Organization Name <br /> <br />Address <br /> <br /> Street <br /> <br />Organization Contact Name, if applicable <br /> <br />Phone Work Phone <br />Activity <br /> <br />Date(s) of Acdvity <br /> <br />Start Time (including set up) <br /> <br />Will alcohol be present (please circle one) Yes No <br /> <br />City State Zip <br /> <br /> Fax <br /> <br /> Email Address <br /> <br /> Number of People Expected <br /> <br /> 0End Time (including take down and clean up) <br /> <br />If yes, beginning at and ending at <br /> <br />5 ' Round Tables Lectern Police Coverage <br />30" x 6' Rectangular Tables Portable PA System Building Supervision <br />Chairs Overhead Projector/Screen Insurance Policy <br />i Coffee Pots TV/VCK Other <br /> <br />EXtensions Cords <br /> <br />Electricity in Shelter <br /> <br />Other <br /> <br />ITEMS NEEDED FOR RENTAL--PLEASE COMPLETE WITH FACILITY COORDINATON <br />By signing this application, I acknowledge receipt of and agree to follow the Lions Park Facility Use Policy. I understand that a portion or <br />all of my deposit may not be returned if these policies are not followed. I authorize the City of Elk River to file a claim against my <br />insurance company if the deposit I have given does not cover any damages or cleaning needs required from my use of this facility. I <br />understand I will be the first one in the building and the last one to leave from my group and I must be present during the entire event. <br /> <br />Date and Time Received <br /> <br />Fees Paid Park and Recreation Commission Approval Received <br />Deposit Paid Parks and Streets Department Notified " <br />Copy of Insurance Policy Received Police Department Notified <br />Proof of 501 (c)3 Status Received Permit Number <br /> <br /> <br />