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Icnic Orksheet Pplication: C S C U O

This document is an application for reserving a picnic area. It lists various fees including an application fee of $18.25, refundable deposits for electricity ($100), keys ($80), and security ($160). It requests information from applicants such as contact details, event date and time, expected attendance, and whether alcohol or amplified sound will be involved. Payment details are requested at the end to secure the reservation.

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takenoveraccount
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288 views1 page

Icnic Orksheet Pplication: C S C U O

This document is an application for reserving a picnic area. It lists various fees including an application fee of $18.25, refundable deposits for electricity ($100), keys ($80), and security ($160). It requests information from applicants such as contact details, event date and time, expected attendance, and whether alcohol or amplified sound will be involved. Payment details are requested at the end to secure the reservation.

Uploaded by

takenoveraccount
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CUSTOMER SERVICE CENTER USE ONLY DATE RECEIVED: APPLICATION FEE: USAGE FEE (S): EXTRA FEES: ENTERED BY: REFUNDABLE DEPOSITS: TOTAL DUE: $18.25 PICNIC $______ $25 ELECTRICTY $100 KEY $80 FIELD $_____ $60 VEHICLE $125 SECURITY $160 OTHER $ ______ $155 OVERBOOKING OTHER $ ______

PICNIC WORKSHEET/APPLICATION
CUSTOMER SERVICE CENTER 503-823-2525 FAX 503-823-2515
CONTACT INFORMATION PRIMARY CONTACT NAME: PRIMARY CONTACT DATE OF BIRTH: PRIMARY ADDRESS: DAY PHONE: DESIRED NAME OF EVENT: WILL YOU BE SELLING ANYTHING? ARE YOU ADVERTISING THIS EVENT? NO NO
YES

BUSINESS OR ORGANIZATION NAME: / / EMAIL: CITY: CELL PHONE: ST: FAX: WHAT IS YOUR EXPECTED ATTENDANCE? WILL YOU BE COLLECTING ANY DONATIONS? NO
YES

ZIP:

YES- STOP! THIS EVENT REQUIRES A SPECIAL USE PERMIT FROM PUBLIC EVENTS STAFF

DATE & TIME: AS OF 2013 WE DO NOT OFFER HALF DAY RESERVATIONS. ALL PICNIC AREAS ARE RESERVED FOR FULL DAYS ONLY 8A- 9P PLEASE SEE OUR PICNIC BROCHURE FOR DESIGNATED PICNIC SITES & FEE INFORMATION (Customer Service Center Only) DATE (1 DATE (2 DATE (3
ST

CHOICE)

: : : YES

TIME: TIME: TIME: NO LOCATION : LOCATION : LOCATION :

AVAILABLE: Y: AVAILABLE: Y: AVAILABLE: Y: AVAILABLE: Y: AVAILABLE: Y: AVAILABLE: Y:

N: N: N: N: N: N:

ND

CHOICE) CHOICE)

RD

LOCATION: ARE YOU BOOKING MORE THAN 1 LOCATION? PARK (1 PARK (2 PARK (3
ST

CHOICE)

: : :

ND

CHOICE) CHOICE)

RD

SET UP: PLEASE SEE THE PICNIC BROCHURE FOR FEES ALCOHOL (BEER & WINE ONLY - NO KEGS) GUESTS BRING THEIR OWN HOST OR PROVIDE AMPLIFIED SOUND/ MUSIC TYPE: ATHLETIC FIELDS: 2 HOURS LIMIT - TIME: ____ TO ___ BALLFIELD (FEES VARY) SPORTS FIELD (FEES VARY) CANOPIES (NO STAKES ALLOWED) # & SIZE: FOOD WILL THE EVENT BE CATERED OR POTLUCK? ELECTRICITY: INCLUDED AT SITES WITH AN E IN THE BROCHURE.
(OTHER LOCATIONS, WHERE AVAILABLE - $25.00 FEE, KEY & DEPOSIT MAY BE REQUIRED)

RENTAL #

GAMES, VOLLEYBALL NETS, INFLATABLES, PONY RIDES, ETC.


(CIRCLE ALL APPLICIABLE ITEMS ) (NO STAKES ALLOWED)

PORTABLE RESTROOM REQUIRED - 1 PER EVERY 125 PEOPLE VEHICLES (LOAD/UNLOAD ONLY) $60.00 PER VEHICLE # OF VEHICLES DRIVING INTO PARK: ADDITIONAL TABLES YOU WILL BRING TO THE PARK: # & SIZE:
OTHER: OTHER:

PAYMENT INFORMATION - IN ORDER TO HOLD A DATE & LOCATION, A MINIMUM OF THE APPLICATION FEE IS DUE IF FAXING APPLICATION PLEASE PROVIDE PAYMENT INFORMATION. DO NOT EMAIL CREDIT CARD INFORMATION
NAME AS IT APPEARS ON THE VISA OR MASTERCARD:

AMOUNT APPROVED: $ EXPIRATION DATE: /

CARD NUMBER:

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