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APPLICATION <br /> <br />FOR LIONS PARK CENTER FACILITY USE <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. Ifmak~'ng application as a non-profltgroup, please supply <br />proof of status with application. Please make checkspa_yable to the City of Elk River. Deposits over $100 must be made b_y certified check, money order or credit <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 Activity <br /> <br />Start Time (including set up) <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 />Will alcohol be present (please circle one) Yes No If yes, beginning at <br /> <br />and ending at <br /> <br />5 ' Round Tables Lectern Police Coverage <br />30" x 6' Rectangular Tables Portable PA System Building Supervision <br /> <br />Chairs <br /> <br />Overhead Projector/Screen <br /> <br />Coffee Pots TV/VCR <br />Extensions Cords Electricity in Shelter Other <br /> <br />Insurance Policy <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 £fle 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 Planning Department Notified for Commission Review <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 />