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ROSEVILLE PARKS & RECREATION <br />2660 Civic Center Drive - Roseville, Minnesota 55113 <br />Phone: 651-792-7006 - Fax: 651-792-7100 <br />OUTDOOR FACILITY AGREEMENT <br />Name of Contact: <br />Name of Organization/Event: <br />Mailing Address: City/State/Zip: <br />Phone #1: Phone #2: <br />E-mail: Estimated Attendance: <br />FIRST CHOICE FACILITY, DATE AND TIME <br />Facility Requested: Date Requested (M/DN): <br />O Mon O Tues O Wed O Thur O Fri O Sat O Sun <br />Time Slot Requested: O 9 am - 3 pm O 4 pm - 10 pm O 9 am - 10 pm <br />SECOND CHOICE FACILITY, DATE AND TIME <br />Facility Requested: Date Requested (M/DN): <br />O Mon O Tues O Wed O Thur O Fri O Sat O Sun <br />Time Slot Requested: O 9 am - 3 pm O 4 pm - 10 pm O 9 am - 10 pm <br />Special Considerations: <br />O 3.2 % beer permit O Amphitheatre staffing fee - $25/hr <br />O outside vendors (2 hour nonrefundable minimum) <br />O play kit <br />O other special needs <br />FORM OF PAYMENT <br />O cash O check O Visa O Master Card O American Express Amount Paid $ <br />Credit Card # <br />Expiration Date Date —/ Name as it appears on the card: <br />Acknowledgement of Facility Agreement. <br />Refund Policy. All requests for refunds, due to cancellation are subject to a cancellation fee. A refund, less $10 <br />administration fee will be issued for cancellations made 46 days or more, less $25 (1/2 day) $35(full day) for <br />cancellations made 11-45 days prior to reservation date. No refund given for cancellations 10 or fewer days before <br />scheduled reservation. No refunds made due to weather - unless weather condition is deemed severe i.e. tornado. <br />Key Policy. $25 deposit (Visa, MC or Cash) due upon key pick-up. <br />Deposit is required for shelters that include kitchen / bathroom facilities. <br />Weekday key pick-up hours: 8am-4:30pm; weekend key pick-up hours: Friday, 8:00am-4:00pm. <br />Return key the following business day. If key is not returned within one week of due date, deposit will be forfeited. <br />Use of the shelter is limited to scheduled rental only. Food or other materials may not be stored in shelter prior to rental. <br />1 have received, read and understand the terms of agreement for the use of Roseville's outdoor facilities. <br />Signature of Rental Party Date <br />Thank you for choosing Roseville Parks and Recreation for your special event. <br />