Plr 12-9-15 - Facility Use Permit Form
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1
2FACILITY USE PERMIT
CITY OF STERLING
DEPARTMENT OF PARKS, LIBRARY & RECREATION
Centennial Square – 421 North 4
Street – P.O. Box 4000
th
Sterling, CO., 80751-0400
(970) 522-9700; FAX # (970) 521-0632
(THIS DOES NOT RESERVE EXCLUSIVE USE OF THE FACILITY)
Today’s Date___________________
Name______________________________
Title (If applicable)____________________
Day Phone_____________________
___________________________________
Address_______________________
Organization Represented ______________________________
DATE REQUESTED____________________
HOURS
FROM ________TO_________
NUMBER EXPECTED____________
FACILITY/EQUIPMENT RENTAL
Recreation Center
Please specify area:
PARKS ($30.00 Daily Use Fee)
Pioneer Park
______
Columbine Park
______
Softball Complex
Cheairs Park
______
Flat Fee $300.00 All Fields
Number of Days __________
Prairie Park
______
Propst Park
______
Hourly Rental
Fields:
North Mason South
Krull Park
______
$25.00 First Hour/$15.00 Each
Monahan Park
______
Additional Hour
Number of Hours _________
Overland Trail Rec. Area ______
Tennis Court
Other
______
Pioneer Cheairs
Prairie
_________________________
Disc Golf Course
_________________________
(Per Day) $50.00
Nature of activity or
____________
Number
event:_____________________
__________________________
Picnic Table
Pick-up____________
Rental fee - $10.00 per table
Camping:_____________________
Return_____________
_____________________________
_____________________________
Weekly picnic table rental
5 - 7 Days ($30.00 per table)
Number _____________
NOTE: If you are unable to use the facility/tables, please call the Parks, Library and Recreation Department at
522-9700. If you cancel the facility/tables, you will need to do so within Three (3) days of reservation date and
$5.00 will be deducted from your refund for administrative fees.
FEE: Yes
No
$________
DEPOSIT: Yes
No
$________
Amount
Amount
________________________________
Date_________
Approved
Recreation Superintendent
Disapproved
_______________________________
Date_________
Approved
Director, Parks, Library and Recreation
Disapproved
PLEASE READ AND SIGN OTHER SIDE
PLR 12-9-15
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