GUS VELASCO FACILITY USE APPLICATION

GUS VELASCO FACILITY USE APPLICATION

Department of Community Services
- Event Type*
- Date of Event*
  
  MonthDayYear
  Date
- Estimated Attendance*
- Applicant Full Name*
- Address
- City*
- State*
- Zip Code*
- Email Address*
  example@example.com
- Phone*
  Format: (000) 000-0000.
- Date of Birth*
  
  MonthDayYear
  Date
- OrganizationDesignee
- Address
- City
- State
- Zip Code
- Email Address
  example@example.com
- Format: (000) 000-0000.
- Renter shall be present for the entirety of the event, including set-up and breakdown periods. For weddings, if the Renter is the bride or groom, the Renter shall provide City with a single designee to serve as the representative for Renter's activities. However, the representative is not able to make changes to event date, times, and layout.
- Fees are for 6 hour event time, 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.
- Pio Pico Room - Capacity 112 Saturday: $1,500 / Sunday - Friday: $1,000 / $750 downOntiveros Room - Capacity 96 Saturday: $900 / Sunday - Friday: $750 / $750 down
- Fees are for 4 hour event time, 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.
- Pio Pico Room - Capacity 112- Fee: $200 - $150 downOntiveros - Capacity 96 - Fee: $200 - $150 down
- Business Meeting Prices for the Pio Pico and Ontiveros Room are for Santa Fe Spring Businesses only.
  
  *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.
- Pio Pico Room - Capacity 112 - Fee $300 per 2 hour block - $100 downOntiveros Room - Capacity 96 - Fee: $300 per 2 hour block - $100 downMeeting Room 1 - Capacity 25 - Fee: $200 per 2 hour block - $100 down
- Set-Up Begins
- Set-Up ends
- Event Begins
- Event Ends
- Clean-Up Begins
- Clean-Up Ends
- Additional Notes
- NoYes
- NoYes
- NoYes
- NoYes
- NoYes
- NoYes
- DJDJN/A
- Down payment will be held if cancellation takes place less than six (6) months of event. a $100 non- refundable fee will be charged for event cancellation between six (6) months to one (1) year of event date.
  
  By signing below, I confirm that I have been informed of cancellations, had the opportunity to ask questions, and agree to abide by the cancellation terms.
- Signature
  
  Clear
- Date
  
  MonthDayYear
  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.
  
  By signing I am agreeing to the Facility Reservation & Use Policy
- Applicant Signature
  
  Clear
- Date
  
  MonthDayYear
  Date
- Click here for the full version of the 2026 Facility Reservation & Use Policy
- 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.
  FULL NAMEblank
- NAME AS IT APPEARS ON CARD*
- MASTERCARDVISAAMERICAN EXPRESS
- CREDIT CARD NUMBER *
- EXPIRATION DATE*
- CVC NUMBER*
- ZIP CODE*
- DRIVER'S LICENSE NUMBER *
- DRIVER'S LICENSE STATE*
- DRIVER'S LICENSE EXPIRATION DATE*
- Signature*
  
  Clear
- Date*
  
  MonthDayYear
  Date
Should be Empty: