HomeMy WebLinkAboutSoftball Tournament Application (Revised 12-4-15)City of BAKERSFIELD Please Call 322-9874
DEPARTMENT OF RECREATION AND PARKS Department OF Recreation And Parks For More Information
RESERVATION APPLICATION/AGREEMENT
Martin L. King Jr. Community Center Park Facility
Silver Creek Community Center Pool Facility
Sports Field (day use)Sports Field (night use lighting)
Date of event:Day:Start time:Stop Time:
Type of event:Softball Tournament Number of Participants:
(birthday party, wedding, anniversary, meeting, etc.)
Applicant:Open to Public:
(Please Print Clearly)
Address:Zip Code:
(Number and street - No PO Boxes)
Home Phone:Work Phone:Cell Phone:
Company / Organization:
Applicant, for himself/herself or the above organization and all members thereof, agree to abide by the rules and regulations
as set forth in the Bakersfield Municipal Code, Section 12.56.
Applicant's Signature Date
Recreation and Parks Staff
FOR OFFICIAL USE ONLY
REQUIREMENTS AND APPROVALS
Sale of Alcohol Permit:YES / NO To BPD: Approved: Rec & Parks Approval:
(filed no less that 3 weeks before event)Date Date Date
Cert of Insurance:YES / NO Non Profit (Tax exempt)YES / NO
(General Liability)Date Received Documentation required) ID Number:
Consumption of Alcohol Permit:Fundraiser YES / NO
(Must be obtained 48 hours in advance)(Must be non-profit)
Portable Structure NO Sale of Food, etc.NO
(Jumps, bounce houses, dunk tanks, etc.) Indicate Structure Health Dept. Permit Number:
Other Pertinent Information:
DISTRIBUTION: Refund Deposit To: (payer of check):Approved:Date
Supervisor(s)Yes
Adm. Support Staff No By:
Other
IN CONSIDERATION of my being permitted to use a city facility, the risks of which are apparent to me, applicant for himself/herself, for the above organization, and
all members thereof, hereby waives, releases and discharges the CITY, its Mayor, council, officers, agents, employees, or designated volunteers, from any and all
claims for damage for personal injury, death or property damage which may occur to me as a result of my participation in this event. This release is intended to
discharge in advance the foregoing parties from any any and all liability arising out of, or in anyway connected with, said acceptance and receipt even though liability
may arise out of the negligence or carelessness on the part of the persons or entities mentioned herein.
IT IS FURTHER UNDERSTOOD AND AGREED that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and
hold free and harmless the foregoing parties from any loss, liability, damage, cost or expense which may incur as a result of any death, injuries, maintenance or
property damage that may be sustained.
ALL POLICIES required of the RESERVEE shall be primary insurance as to the CITY, its Mayor, council, officers, agents, employees, or designated volunteers and
the CITY's insurance shall not contribute to it. The general liability policy of the RESERVEE must contain an additional insured endorsement in favor of the CITY, its
Mayor, council, officers, agents, employees and volunteers.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND
SIGN IT OF MY OWN FREE WILL.
YES / NO
Cancellation of a Tournament:
- More than 60 days before the tournament, a full
refund excluding the deposit will be returned
- Less than 60 days, no refund of any fees
including the deposit