Fillable Application for Use of the Yorba Linda Community (City of Yorba Linda)

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Application for Use of the Yorba Linda Community (City of Yorba Linda)

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The Application for Use of the Yorba Linda Community (City of Yorba Linda) form is 3 pages long and contains:

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  • 59 check-boxes
  • 120 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Yorba Linda

BROWSE CITY OF YORBA LINDA (CA) FORMS

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Updated July 2018
City of Yorba Linda Parks & Recreation Department
Application for Use of the Yorba Linda Community Center
4501 Casa Loma Ave., Yorba Linda, CA 92886 * (714) 961-7186
Website: www.yorbalindaca.gov E
mail: YLCCEventRentals@yorbalindaca.gov
Applicant Information
Applicant Name:
DOB:
Address:
City:
State & Zip:
Phone:
Email:
Organization Information
Organization/Business:
Type of Business / Organization: Non-profit School Church Business / Corporate
Booster Club Government Agency Other:_______________________
City:
State & Zip:
Alternate Contact Information
Name:
Relationship to Applicant:
Phone:
Email:
__________Placing your initials in this section, you agree and authorize the above person listed to act on your behalf and
make changes or revisions pertaining to the event details of the rental contract and authorize the City of Yorba Linda to
make the changes requested.
Event Information
Date(s) requested:
Purpose of Use:
Room(s) requested:
Are you requesting multiple dates?
Yes (see pg.3) No
Rental Time
Begin set up: _______Event Start:_______ Event End:________ End of Clean Up:_______ Total Hours:______
Expected Attendance: Adults: __________ Youth: ____________ Total Guests: __________
Is the guest of honor UNDER 21 years of age?
Yes No
Alcoholic Beverages to be SERVED?
Yes No
Alcoholic Beverages to be SOLD?
Yes
No
Alcohol Service Times (5 hour max):
Start: _________ End: ___________
Will Food be Served?
Yes
No
Will Food be Catered?
Yes
No
Will Food be cooked
on site?
Yes No
Are you interested in learning about
in house catering options?
Yes No
Will there be dancing?
Yes No
Will there be a live band?
Yes No
Will there be a DJ?
Yes No
Will any high-profile individuals be present? Yes No
Names of individuals:
Equipment
Dance Floor ($50)
Microphone ($20)
Piano ($50)
Portable Bar ($25)
Podium (N/C)
TV/ DVD Cart ($20)
Continued on next page
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Updated July 2018
Additional Information
Is there an admission fee for the event? Yes No
Is the event open to the public?
Yes No
Is the event a fundraiser?
Yes No
Is the event a casino night?
Yes No
Name of organization or cause funds are being raised for:
Will drink tickets be used?
Yes No
Is alcohol included in the price of admission?
Yes No
Will merchandise be sold? Yes No Merchandise: __________________________________
How Did You Hear About Us?
Newspaper/Magazine
Resident
Website
Family/Friend
Prior attendance
Bridal Show
Website: _________________________________
Other
________________________
Insurance
The City of Yorba Linda requires liability insurance for all rental events. Insurance must be comprehensive
general liability and property damage insurance in the amount of $1,000,000. For more information please see
the Policies & Procedures Policy documentation. Insurance may be purchased through the City and will range in
price according to the expected number of guests.
Insurance is obtained through a third party vendor, not directly
supplied by the City of Yorba Linda. Rates may change on an annual basis and the fee will be charged
accordingly. Additional fees may apply if alcohol will be available and/or sold.
Applicant is designated as the responsible party for the event, must be present for the duration of
the event, and must adhere to all policies as stated in the Policies and Procedures, Alcohol Use,
Cancellation, Grass, and Hurless Barton Park Amphitheater policies.
I certify that the above listed information is true and correct and agree that any falsification or
omission may be grounds for event cancellation.
Applicant Name
Applicant Signature
Date
Department Use Only
Date Received:
Received By:
Contract #:
Proof of Residency:
Approved
Denied
Recreation
Coordinator
Approved
Denied
Recreation
Supervisor
Approved
Denied
Additional
Department
Approval
Reason for Denial:
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signature
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Updated July 2018
Yorba Linda Community Center Additional Rental Information
Date
Room
Rental Start Time
Rental End Time
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Application for Use of the Yorba Linda Community (City of Yorba Linda)

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Completed 25 March 2021

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