THE CLUB APPLICATION

THE CLUB APPLICATION

Parks and Recreation

EVENT INFORMATION
Event Type*
Date of Event*

MonthDayYear
Date
Estimated Attendance*
Events Guest of Honor*
How is Guest of Honor Related to Applicant*

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

MonthDayYear
Date

ORGANIZATION (Only needed if renting for an organization)
Organization
Address
City
State
Zip Code
Email Address
example@example.com
Phone

LOCATION INFORMATION
Fees are for 4 hour event time, up to 3 hours of decorating, and 1 hour of clean-up.

Certificate of Liability Insurance is required for all rentals and can be provided by the renter or purchased through the City via a third-party provider.

*Please note that rental rates for non-residents will increase by 15% during the months of May, June, and July. This adjustment reflects the seasonal demand and applies to all rental agreements involving non-resident tenants during this period.
TOWN CENTER HALL | 11740 TELEGRAPH ROAD (Capacity 100/40 dinning)*

RESIDENT - $300 - Down Payment $150NON-RESIDENT - $500/$575* - Down payment $150

RESERVATION INFORMATION
Set-Up Time (up to 3 hours)*
EVENT TIME*

12 - 4 PM1 - 5 PM
Clean Up Time (1 hour)*

ADDITIONAL PERMITS
Will you be serving alcohol? If yes, a Certified Bartender is required.

NoYes
Will you be selling alcohol? If yes, an ABC permit is required.

NoYes
Will you be renting outside equipment? If yes, additional insurance is required.

NoYes

CREDIT CARD AUTHORIZATION
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.
CANCELLATIONS
Down payment will be held if cancellation takes place less than six (6) months of event. A $100.00 non- refundable fee will be charged for event cancellation between six (6) months to one (1) year of event date.
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 FREE WILL. I UNDERSTAND THAT THE CITY RESERVES THE RIGHT TO CHANGE, OR CANCEL ANY RESERVATION, AT ANY TIME, RESULTING FROM CITY ACTIVITY AND/OR MAINTENANCE.
Applicant Signature*

Clear
Date*

MonthDayYear
Date

CREDIT CARD AUTHORIZATION
I, Full 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, Name of Facility on Date This security deposit hold is due at the time the facility reservation application is submitted. I understand the City of Santa Fe Springs Parks 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 by the City will be released. In the event the damages exceed the security deposit amount, or the 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 collection of those funds.
Name As It Appears On Card*
Credit Card Type*

MasterCardVisaAmerica Express
Last 4 Digits of Card*
Expiration Date*
CVC Number*
Zip Code*
Driver License Number*
Driver License State*
Driver License Expiration*
For the full version of the Facility Reservation and Use Policy 2026, please click here.

Should be Empty:

THE CLUB APPLICATION

CANCELLATIONS