APPENDIX: FACILITY USE/RENTAL INFORMATION FORM
   Ashland
   A Proud Past A Bright Future
   Facility Use/Rental Information Form
   City of Ashland
   Post Office Box 1839
   Ashland, Kentucky 41105-1839
   (606) xxx-xxxx
   Fax (606) xxx-xxxx
DEPARTMENT:                                      
Sponsor/Contact Name:                                                         Phone:                                                  
Organization Name:                                                                                                                          
Address:                                                                                                                                          
Type of Event:                                                                                                                                  
Date and Time of Event:                                                                                                                    
Additional Requests:                                                                                                                            
Cost:                         Deposit            Facility:                                            
                            Hourly Rate
                            Program Rate      Rates:   Activity Room $25.00/hr
                           Log Cabin $50.00/hr
                           Inflatables $35.00/event, w/electric $50.00
                           Chairs $1.50/rental (50 minimum)
Rules for Facilities Rental/Use:
   1   Alcohol is not permitted at any City Park Facility.
   2   Smoking is not permitted at any City Facility.
   3   Loud amplified music is not permitted.
   4   Temporary decorations are permissible at some facilities. Clean-up is required.
   5   Profanity, lewd behavior, and horseplay are prohibited.
   6   Limited access is available.
   7   Parking shall be limited and subject to approval.
   8   Exceptions: Require prior approval and recording from the administrating City Dept.
   9   It is the responsibility of the event sponsor to be aware of any additional regulations and restrictions specific to the City facility to be utilitized.
   10   City Manager may waive any and all requirements as necessary.
Indemnification
The event Sponsor/Responsible person(s) shall indemnify, defend and hold harmless the City, its agents and employees from and against all claims, damages, losses and expenses including attorney’s fees arising from the execution of the work under this agreement. The Sponsor will assume responsibility for leaving City property in good/clean condition and reimburse the City for any damages incurred.
 
                                                                                                                                              
Sponsor Signature                                Date         Dept. Approval Signature                      Date