Community Services Division
Park Gazebo/Ball Field Reservation Request
TODAY’S DATE: __________________
ORGANIZATION: _____________________________________
CONTACT NAME: __________________________
PHONE: _______________ FAX: _______________
MAILING ADDRESS: __________________________________________________________________
Street
City
DATE REQUESTED (one day event): ______________
TYPE OF ACTIVITY:
Zip
TIME REQUESTED: __________to___________
Birthday Party
Company Picnic
Family Picnic
League Game
League Practice
League Pictures
Neighborhood Party
School Function
Other: ________________________________________________________
PARK REQUESTED: ________________________________________________________________________
Shelter 1
AREA REQUESTED:
Shelter 2
Shelter 3
Other Requests: _____________________________________________________________________
(Please include other items that your group may bring, e.g.: tables, chairs, BBQ’s, canopies, etc.)
# OF PEOPLE IN USER GROUP: ___________________
For Continuous Use, Complete Information Below—Leagues Only
Park Site Requested: _______________________________________________________________________________
Dates Requested: from _____________to_____________
Time Requested: Sun: ____________
Days Requested:
Mon: ____________
Fri: ____________
Ball Field #1*
Ball Field #2*
*Ball field lighting required?
YES
NO
M
T
Tue: ____________
Thurs: ____________
Ball Field Requested:
S
W
Th
F
S
Wed: ____________
Sat: ____________
Ball Field #3*
If yes, please give times: from __________ to __________
WAIVER AND RELEASE
I do hereby waive, release and hold harmless the County of Riverside, its officers, employees, sponsors,
supervisors and representatives for any injury suffered at the event mentioned above. It is further
understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and
assigns.
______________________________________
SIGNATURE OF CONTACT PERSON
_________________________________________
TITLE (if applicable)
____________________________________
APPROVED BY (County Personnel Only)
_________________________________________
DATE APPROVED
24885 Whitewood Rd., Suite 105 ▪ Murrieta, CA 92563 ▪ Phone: 951-696-0100 ▪ Fax: 951-696-0002
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Rules and Regulations
1. All reservation requests must be in writing with at least 7 days notice; reservations cannot be
accepted over the telephone.
2. Should changes to a confirmed reservation be necessary, they must be made at least 3 days
before the reserved date.
3. Reservations are not accepted on any holiday, including Mother’s Day and Father’s Day. On
holidays the facilities are first come, first serve.
4. No generators. No jumpers, bouncers or any other unit requiring the use of a generator
or electricity.
5. No piñatas.
6. Petting zoos and pony rides are not permitted.
7. All parks close at sunset unless otherwise authorized.
8. Canopies are allowed only if the holding pegs DO NOT exceed 6” in length.
9. Electricity and water hook-ups are not available.
10. Additional barbecues are permitted. Please note that the majority of the facilities DO NOT have
sites to dump hot coals.
11. Please insure that the area is left clean for the next user.
12. No glass containers.
13. No unleashed pets.
14. No climbing of trees, slopes or back stops.
15. No driving vehicles on turf or sidewalks.
16. No alcohol.
17. No loud music.
18. If insurance is required, the organization must provide the Community Services Division office
with a copy of their insurance naming the County of Riverside as additional insured. The
minimum amount of liability is $1 million. Insurance riders must be received at least 3 days
before the requested date and before final confirmation will be given.
19. Any flier, invitation or brochure to be posted at park sites must be submitted and approved by
the Community Services Division prior to being distributed.
20. Maximum of 4 hours for reserving shelters.
21. Reservations are for 50 people or less only. (Any number exceeding 50 is considered a special
event. Please call 951-696-0100 for Special Event Permit Requirements.)
I have read and agree to abide by all of the above Rules and Regulations. ______
______
Initials
Date
For Office Use Only
Date Received
__________ Field Use Amount $_________
Date Received
____________ Amount for Lights $__________
___________ Special Prep Fees $_________
____________ Insurance Required? YES
Approved/Denied:
YES
NO
NO
If denied, why? ___________________________________________
24885 Whitewood Rd., Suite 105 ▪ Murrieta, CA 92563 ▪ Phone: 951-696-0100 ▪ Fax: 951-696-0002
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