Form Center

2. Reserve

   1. Krusen Football

   1. Krusen Softball Field(s)

   1. Zephyr Park Tennis

   1. Other Facility
4. If other facility, please specify.
6. Name of Applicant (User)
8. If an Organization, Name of Representative
10. Type of Organization

    1. City Co-Sponsored

    1. Government Agency

    1. Not-for-Profit
12. Attach Copy of 501c3 Certificate
14. Address
16. City
17. City
18. State
20. Contact Person's Day Telephone
21. Contact Person's Evening Telephone
22. Alternate Contact Telephone
24. Description of Event
26. Anticipated Attendance
27. Attendees Will Be

    1. Adult

    1. Preschool

    1. Teens
29. If youth event, number of supervising adults.
31. Day(s) of Event

    Check All That Apply

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday

    1. Thursday
    2. Friday
    3. Saturday
33. Event Start & End Date(s) & Time(s)
    Event Start & End Date(s) & Time(s) Start Date

    Event Start & End Date(s) & Time(s) Start Time

    —

    Event Start & End Date(s) & Time(s) End Date

    Event Start & End Date(s) & Time(s) End Time
35. Will event be open to the general public?

    1. Yes

    1. No
37. Admission/Donation/Fee

    1. Yes

    1. No
38. Admission/Donation/Fee Amount
40. Food/Merchandise Sales

    1. Yes

    1. No
41. Description
43. Refreshments Served

    1. Yes

    1. No
44. Description
46. Number of Paid Security Officers (if Applicable)
47. Scheduled Time
    Scheduled Time Start Time

    —

    Scheduled Time End Time
49. User Fees
    User fee(s) for the requested facility shall be based on the rate of $ _________ (Plus Florida sales tax, if applicable) for the period set forth in this application. If applicable, each additional hour or part thereof, and the cost of additional equipment, supplies and services, will require additional fees.
51. Applicant/User Electronic Signature*
52. Date
    Date
55. Required Documents
    Required attachments to accompany this completed Use Form:
57. Current Insurance Policy
    Certificate naming "City" as "Additional Insured".
58. Notarized Background Check Forms
59. Submit the Completed / Signed Facility Use Agreement
    Facility Use Agreement
61. Facility Use Policy
    Facility Use Policy
62. Facility Use Policy Agreement*

    Responsible party has read and understands the Facility Use Policy.

    1. I agree
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field