please print
Applicant's Name: Organization:
Address: City: Zip:
Phone Number: Email:
PICNIC SHELTER REQUESTED
please check box
Brush Canyon EAST Shelter Brush Canyon WEST Shelter
(located near the basketball courts)
Eastside Community Park
Hurless Barton Park Amphitheater
Jessamyn West Park Vista del Verde Park Other:
Month: Day: Year:
Start Time: End Time: Total Hours:
(please use back of form if additional space is needed)
Event open to public:
Yes
No Expected attendance: Adults: Minors: Total:
Will event be used to raise money?
If yes, what will profits be used for?
If yes, describe:
APPLICANT'S AGREEMENT
Signed: Date:
Fees Collected:
Yes No Amount Collected: $ Contract Number: Staff/Date:
Yes
Yes
- Reason:
I HAVE READ THE TERMS OF THE AGREEMENT AND ACKNOWLEDGE THE POLICIES AND PROCEDURES. The applicant accepts the facilities for
which this application is made in an “AS IS” condition. In consideration of the minimal fees paid for use of the facility, the applicant is financially responsible for any
damage that occurs as a result of the rental. The applicant agrees to indemnify, defend, and hold harmless the City of Yorba Linda, its officers, officials, employees, agents,
and volunteers (“City and City Personnel”) from all actions, liabilities, claims, damage to person or property, losses, costs, penalties, obligations, errors, or omissions that
may be asserted or claimed by any person, firm, or entity arising out of or in connection with the activities conducted by the applicant, whether or not there is concurrent
passive or active negligence on the part of City or City personnel. The City of Yorba Linda “Facilities Use Policy” and “Municipal Code Ordinance” is incorporated herein
by reference. The applicant is responsible for knowing its contents, and by signing this application is deemed to have accepted the terms and conditions of the City Facilities
Use Policy and City Ordinance.
Picnic Shelter & Amphitheater Reservation Application
Parks and Recreation Department
4845 Casa Loma Avenue
Yorba Linda, CA 92886
(714) 961-7160
Equipment to be used at event:
Frequently Asked Questions:
Use of “moon-bouncers,” inflatable play equipment, laser tag, petting zoos, dunk tanks, water slides, and similar items are prohibited on City
parks. Parking lots cannot be used for vendor trucks, catering cooking, equipment storage or any purpose other than parking vehicles. Vehicles, trailers, and large
equipment are not allowed on the park at any time. Personal barbeques (propane or charcoal) are not allowed. Only the barbeques provided in the parks may be used for
barbequing purposes. Caterers may be used; however, see restrictions above. Alcohol is prohibited. Sale of merchandise is prohibited.
A complete list of rules and
regulations can be found at www.yorbalindaca.gov
Amplification of sound:
a Noise Permit)
click to sign
signature
click to edit
![]()
