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Wednesday, May 16, 2012
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Rental Application Submittion Form
Community Center / Civic Park Gazebo Rental Application
Date of Application
Heather Farm Community Center - Facility Rental Office
301 N. San Carlos Dr, Walnut Creek, CA 94598
(925) 256-3575; fax (925) 938-7529
Facility Interest:
--------------
Shadelands Art Center - Auditorium
Shadelands Art Center - Dance Studio
Shadelands Art Center - Auditorium - Classroom
Heather Farm Community Center – Lakeside Room
Heather Farm Community Center – Club Room
Civic Park Community Center – Assembly Hall
Civic Park Community Center – Social Hall
Civic Park Community Center – Conference Room
Tice Gym – Exercise Room
Walnut Creek Library – Las Trampas
Walnut Creek Library – Oak View Room
Day(s) / Date(s) Requested:
Estimated Attendance:
Times Requested for your event:
Start Time:
End Time:
PLEASE REMEMBER the facility will NOT be open prior to the start time of your rental contract
for you, your caterers, bands, decorators, etc.
Nature of Planned Actvity:
Age of guest of honor:
(OK to leave blank if over 21)
Name of Applicant:
Name of Organization (if applicable):
Is this a non-profit organization?
501(C) Service Organization?
Applicant Address:
City:
Zip:
Home Phone:
Work Phone:
Cell / Pager / Fax:
E-mail address:
Person in charge the day of the Event:
Day Phone:
Will you be selling tickets, soliciting donations, or collecting funds in conjunction with this event?
Yes
No
If so, a City of Walnut Creek Business License is required. Contact Sheri Lund at (925) 943-5821.
Will Alcoholic Beverages be served?
(Only beer, wine, and champagne may be served)
Yes
No
If so, there is a $75 fee.
Do you plan to sell alcohol at your event?
Yes
No
Do you plan to either pre-sell tickets or sell tickets at the door that include alcohol service?
Yes
No
If "Yes" for either of these questions, a license is required. Events involving exchange of monetary consideration (example: purchase of meal ticket with any form of alcohol being served as a part of the meal) requires:
1. Letter of permission from the Walnut Creek Police Dept. Contact Sonja Chesareck at (925) 943-5844.
2. Permit from Alcohol Beverage Control (ABC). ABC will issue one-day permits to non-profit groups who wish to sell beer or wine at fundraisers. ABC is located at: 1515 Clay Street, Oakland, 94612 telephone # (510) 622-4970
Decorations:
(Please refer to rental brochure for restrictions)
Yes
No
Explain:
How did you hear about us?
For the Community Centers/Library:
A non-refundable initial payment of $500 or the entire amount of the rental fees (whichever is less) is required for reservations made 90 days or more in advance. Remaining rental fees and refundable damage deposit are due no less than 90 days before the event date. For events booked less than 90 days in advance,
all
fees and charges must be paid in full.
For the Gazebo:
Your minimum rental fees ($280 for private individuals or $240 for non-profit organizations) are non-refundable and must be received at the time of booking. $100 refundable damage deposit is due 90 days before the event date. For events booked less than 90 days in advance,
all
fees and charges must be paid in full.
For non-profit groups:
A State Treasurer’s letter of non-profit status must accompany your initial payment (deposit and/or rental fees). All payments for your event must be made with a check from your Organization. Your event will be billed as a private event if proof of eligibility and/or proper payment is not provided.
Confirm:
Please enter the word above in the space below
Submit:
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Walnut Creek City Hall
1666 North Main Street, Walnut Creek, CA, 94596
(925) 943-5800 Hours: 8 a.m. to 5 p.m. Monday-Friday
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