City of Manhattan Beach Parks & Recreation This application must be submitted 10 business days prior to event. Applications are accepted for indoor and outdoor facilities a maximum of three (3) months in advance for residents and two (2) months in advance for nonresidents. Return completed application to: Parks and Recreation Department 1400 Highland Ave., Manhattan Beach, CA 90266 Fax: (310) 802-5401 Email: reservations@manhattanbeach.gov
Applicant Information Applicant Name
Organization Name
Street Address
City
Primary Phone
Reservation Information Facility/Park
Alternative Phone
State
Room/Area
Date
Start (Include setup time) Open to the Public: ☐ Yes ☐ No ☐AM Entry Fee: ☐ Yes ☐ No ☐PM Marketing Material: ☐ Yes ☐ No Event Information Event Type (if birthday party, specify age) Total Attendance Requested Setup (Indoor facilities only): ☐ Meeting ☐ Square ☐ Classroom ☐ COG ☐ U-Shape ☐ No Setup ☐ Custom Setup (additional form) Equipment ☐ Y ☐ N (If yes, additional form needed)
Zip Code
End (Include cleanup time) ☐AM ☐PM
Will you be using outside services/vendors?* ☐ Yes ☐ No Type: Name: *Must have Manhattan Beach Business License and Health Permit
Payment Information (All fees, including deposit, will be processed at time of approval) ☐ CASH ☐ CHECK: C# ☐ CREDIT CARD: CC# Cardholder’s Signature:
SC:
EXP:
Print:
Applicant Statement I, the undersigned, understand all park policies and procedures and general regulations provided to me and will comply with them. I understand that the City has adopted a Civility Policy, which among other things requires that all interactions with other participants, instructors and staff be conducted in a respectful manner, and provides that threats of violence and loud, insulting, demeaning or offensive communication will not be tolerated. A copy of the Civility Policy is available upon request.
Applicant Signature OFFICE USE ONLY ☐ Business License ☐ Insurance ☐ Security ☐ Health Permit
Date FINAL APPROVAL: Signature: Date:
☐Y
☐N