North Sevier Community Center Application 2010

North Sevier Community Center
Facility Use / Rental Application
Name of Person requesting rental
Name of Business
Address
Phone #
Cell #
Date(s) requesting facility
Hours of use
Facility will be used for what type of activity
Fee # of Days Security  Deposit Total
Banquet Room with Kitchen
Large Conference Room
Small Conference Room
Kitchen
Conference Package
Wedding Package
Reunion/Sport Package
Optional Rental Item
Projector and Screen
Portable Basketball Standards
Racquetball courts
Racquetball equipment
Walleyball kit
Fun Pack (misc recreation items)
Grand Total
Approximately how many people are expected to attend this function___________________
Are you a resident of the Salina, Redmond or Aurora area?_____________________
I agree to have adult supervision at all times for children under 16. ______________________
Insurance/Waivers
Please sign and date your Hold Harmless and release of Liability Agreement.
Please sign and date the rules and regulations page.
After all documents have been signed and all fees are paid the North Sevier Recreation Department will
print off a letter of confirmation for your activity.
Please make all checks payable to
Salina City
P.O. Box
Salina, Utah 84654
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