7.5 PRSR 02-10-2021 - Laserfiche WebLink

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APPLICATION FOR TROTT BROOK FARM BARN FACILITY USE Applications are to be submitted to Elk River Parks and Recreation, 13065 Orono Parkway at least 14 days prior to the first date requested in order to allow processing time. Some requests may require additional time for review. If making application as a non-profit group, please supply proof of status with application. Please make checks payable to the City of Elk River. PLEASE COMPLETE THE FOLLOWING Renter/Organization Name ___________________________________________________________________ Renter’s Date of Birth (required) ________________________________________________________________ Address __________________________________________________________________________________ Street City State Zip Organization Contact Name, if applicable ________________________________________________________ Phone ____________________ Work Phone ____________________ Fax _______________________ Activity ______________________________________ Email Address _______________________________ Date(s) of Activity ___________________________________________ Number of People Expected _______ Start Time _________ End Time _________ Set Up Time ________ Clean Up Time _________ Will alcohol be present (please circle one) Yes No If yes, beginning at _________ and ending at ___________ ITEMS NEEDED FOR RENTAL—PLEASE COMPLETE WITH FACILITY COORDINATON By signing this application, I acknowledge receipt of and agree to follow the Trott Brook Farms Barn Use Policy. I understand that a portion or 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 insurance company if the deposit I have given does not cover any damages or cleaning needs required from my use of this facility. I 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. Signature ________________________________________________________________ Date ____________ FOR OFFICE USE ONLY Date and Time Received Planning Department Notified for Commission Review Fees Paid Parks and Recreation Commission Approval Received Deposit Paid Streets Department Notified Copy of Insurance Policy Received/ Scanned Into RecTrac Police Department Notified Proof of 501(c)3 Status Received/ Scanned Into RecTrac Reservation Number Date Refund Processed Rectangular Tables Insurance Policy Police Coverage Chairs Other