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RV 10.1.2020
Killeen Recreation Services
Application for Outdoor Facility Rental
Return all forms to:
Rosa Hereford Killeen Community Center, 2201 E. Veterans Memorial Blvd. or
Family Recreation Center, 1700 E. Stan Schlueter Lp.
Proposed Date of Event: ______________________________ Facility Requested: ________________________________
Rental Time Frame (30-minute set-up and 30-minute clean-up will be included prior to and after each rental):
Official Name of Event & Description (include details of event, fees, setup, sound etc.):
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Approximate # of Participants Expected: _______________ Approximate # of Vehicles: _______________
(Assembly Permit must be obtained for parties of 150 or more)
Inflatables or Jumping Equipment: ______ Yes ______ No Electricity: ______ Yes ______ No
Amplified Sound: ______ Yes ______ No If Yes, (type used, wattage, etc.): ____________________________
(Must not violate City Ord. Sec. 19-31)
Primary Point of Contact: ___________________________________________________________________________
Mailing Address: ___________________________________________________________________________________
City: ___________________________________________ State: ________________________ Zip: _______________
Home Phone #: (_________)_______________________ Cell Phone #: (_______)___________________________
Email: ____________________________________________________________________________________________
Secondary Point of Contact: ___________________________________________________________________________
Mailing Address: ___________________________________________________________________________________
City: ___________________________________________ State: ________________________ Zip: _______________
Home Phone #: (_________)_______________________ Cell Phone #: (_______)___________________________
Email: ____________________________________________________________________________________________
By signing, you are accepting the rules & regulations of the City of Killeen Recreation Services Department. You are accepting responsibility for, but not limited to:
the event, participants, patrons, etc. By signing, you are now responsible for payment of fees upon approval and also proper cancellation procedures.
Signature: _________________________________________________________ Date: ________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FOR OFFICIAL USE ONLY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL RENTAL FEES: $___________________ Date Received: __________________ Staff Initials: __________________
Method of Payment: __________________________________ Receipt #: ________________________________________
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