Photo Session

Photo Session

FACILITY USE APPLICATION

APPLICATION INFORMATION
APPLICANT INFORMATION
Applicant Full Name*
Address*
City*
State*
Zip Code*
Email Address*
example@example.com
Phone*
Date of Birth*

MonthDayYear
Date
Organization
If applicable
Address
If Applicable
City
State
Zip Code
Email Address
example@example.com
Phone
FEE INFORMATION
Fees:
Clarke Estate | 100211 Pioneer Blvd
$100 per hour (2 hour minimum)
$50 Down Payment

Heritage Park | 12100 Mora Drive
$100 per hour
$50 Down Payment
Select one facility:*

Clarke EstateHeritage Park
SESSION INFORMATION
Session Date*

MonthDayYear
Date
Day*
Time*

Hour Minutes

AM/PM Option
Estimated Attendance*
Occasion for Photos:*

WeddingQuinceaneraOther
Name of Photographer/Studio
Phone
I am reserving this facility for use for myself or an immediate family member (mother, father, siblings, children, or grandparents Any falsification on this form could nullify the application and may result in loss of deposit and/or future use of any City facility. I, the undersigned, do hereby agree to indemnify and hold harmless the City of Santa Fe Springs and any of its officers, agents, and/or employees from any liability, claim, or action for damages resulting from or in any way arising out of the use of the facility as set forth by the City of Santa Fe Springs. I will accept responsibility for any damages to the premises, furniture, City equipment, sculptures, or grounds, resulting for use of facility. Photo session fees are not refundable; however, if it rains on the date of the event, the fee will be refunded (this process takes approximately 4 weeks A two-hour minimum booking is required for a photo session.

I understand that I must be present during the indicated date and time and if I or my photographer is late, it will result in a loss of time and the photo fee is NOT refundable.
EVENT INFORMATION
Applicant Name*
Event Date*

MonthDayYear
Date
Credit Card Authorization FormHeading
The City reserves the right to charge the Renter’s credit card on file for any costs incurred as a result of damages, vandalism, excessive trash, failure to clean and restore the facility to its original condition, unauthorized use of equipment or areas, and/or any additional time beyond the contracted rental period. All associated fees will be assessed based on actual repair, replacement, cleaning, or staffing costs as determined by the City. FILL OUT FORM BELOW.
LIABILITY AND AUTHORIZATION
I HEREBY CERTIFY THAT ALL INFORMATION IS TRUE AND ACCURATE. I HAVE CAREFULLY READ THE FACILITY RESERVATION POLICY AND USE POLICY, AND AGREE TO UPHOLD THE RULES AND REGULATIONS LISTED IN THE POLICY. I RELEASE, HOLD HARMLESS, AND AGREE NOT TO SUE CITY, INCLUDING PHOTOGRAPHY /VIDEO RELEASE, AND I FULLY UNDERSTAND ITS CONTENTS.

I AM AWARE THAT THIS IS A FULL RELEASE OF ALL LIABILITY AND I SIGN IT OF MY OWN FREEWILL. I UNDERSTAND THAT THE CITY RESERVES THE RIGHT TO CHANGE, OR CANCEL ANYRESERVATION, AT ANY TIME, RESULTING FROM CITY ACTIVITY AND/OR MAINTENANCE
Applicant Signature*

Clear
Date*

MonthDayYear
Date

Credit Card Authorization Form
CREDIT CARD AUTHORIZATION FORM
NAME AS IT APPEARS ON CARD:*

First Name (Plus Middle Initial, If Applicable)Last Name
Credit Card Type*

DiscoverMasterCardVisaAmerican Express
Card Number:*
Expiration Date*

MonthDayYear
Date
CVC Number*
Staff will contact cardholder if needed
Zip Code*
Driver License Number*
Driver License State*
Driver License Expiration Date*

MonthDayYear
Date
Cell Phone*
Alternate Phone
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I, First Name* Last Name* , understand and agree that I am allowing a security deposit hold on my credit/debit card for a security deposit in the amount of to reserve a City of Santa Fe Springs facility, *(Date of Rental)* . This security deposit hold is due at the time the facility reservation application is submitted. I understand the City of Santa Fe Springs and Recreation Department will place an authorized hold on my credit/debit card in the amount listed above, and that amount will not be applied to the balance of the rental fees. In the event of damage to the facility, or if the City should incur any additional costs during the time of my rental, I agree to forfeit all or a portion of my security deposit amount. Should no additional charges be incurred, and the facility is returned in its pre-event condition, this security deposit authorization slip shall be destroyed and the hold on my credit/debit card has insufficient funds, I understand I am responsible for all costs associated with the excess fees, as well as any fees incurred from the collection of those funds.
Signature of Cardholder:*

Clear
Date*

MonthDayYear
Date

Should be Empty:

Photo Session

APPLICANT INFORMATION

FEE INFORMATION

SESSION INFORMATION

EVENT INFORMATION

Credit Card Authorization FormHeading

LIABILITY AND AUTHORIZATION

CREDIT CARD AUTHORIZATION FORM