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  • The Paul T. Nakamura Regional Aquatic Center

    Facility Use Application

  • EVENT INFORMATION

  • Date of Event*
     - -
    2 digit month, 2 digit day, 4 digit year

  • APPLICANT INFORMATION

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
    • Organization Information- if applicable 
    • Format: (000) 000-0000.
    • LOCATION INFORMATION 
    • Aquatic Center | 10145 Pioneer Blvd
    • Pavilion Rental Down Payment Fee Per Hour 1-100
      Rental Fee $50 $100
    • Pool Private Rental Down Payment Fee Per Hour 1-100 Fee Per Hour 101-200
      Rental Fee $200 $200 $300
    • Pool & Picnic Private Rental Down Payment Fee Per Hour 1-100 Fee Per Hour 101-200
      Rental Fee $200 $250 $350
    • Spray Ground
      Private Rental      		 Down Payment Fee Per Hour 1-100 Fee Per Hour 101-200
      Rental Fee $130 $65 $65
    • Spa
      Private Rental      		 Down Payment Fee Per Hour 1-100 Fee Per Hour 101-200
      Rental Fee $200 $100 $100

    • RESERVATION INFORMATION

    • AVAILABILITY TIMES FOR PRIVATE RENTAL
    • No Alcohol Allowed
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  • 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

  • The reservation down payment will not be refunded if the reservation is canceled less than six (6) months prior to the scheduled event date. For cancellations made between six (6) months and one (1) year prior to the scheduled event date, a non-refundable cancellation fee of $100.00 will be assessed. By signing below, you acknowledge that you have read, understand, and agree to the City's Cancellation Policy as outlined above.
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • LIABILITY AND AUTHORIZATION

  • I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS TRUE AND ACCURATE. I HAVE CAREFULLY READ THE FACILITY RESERVATION POLICY AND USE POLICY AND AGREE TO UPHOLD ALL RULES AND REGULATIONS LISTED THEREIN. I RELEASE, HOLD HARMLESS, AND AGREE NOT TO SUE THE CITY, INCLUDING CONSENT TO THE PHOTOGRAPHY/VIDEO RELEASE, AND I FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A FULL RELEASE OF LIABILITY AND SIGN IT OF MY OWN FREE WILL I UNDERSTAND THAT SUBMITTING A FACILITY RESERVATION APPLICATION DOES NOT GUARANTEE THE DATE, TIME, OR FACILITY REQUESTED. ALL RESERVATION REQUESTS ARE SUBJECT TO REVIEW, AVAILABILITY, AND THE CITY'S APPROVAL PROCESS. RESERVATIONS ARE NOT CONSIDERED CONFIRMED UNTIL ALL REQUIRED APPROVALS HAVE BEEN COMPLETED AND WRITTEN CONFIRMATION HAS BEEN PROVIDED BY THE CITY. I FURTHER UNDERSTAND THAT THE CITY RESERVES THE RIGHT TO CHANGE, MODIFY, OR CANCEL ANY RESERVATION AT ANY TIME DUE TO CITY OPERATIONS, MAINTENANCE NEEDS, EMERGENCIES, OR OTHER CITY-RELATED ACTIVITIES.
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • For full lversion of the Facility Reservation Use Policy click here.

  • CITY OF SANTA FE SRPINGS CREDIT CARD AUTHORIZATION FORM

  • Type a question*
  • EXPIRATION DATE:*
     - -

  • Compare expiration date with rental date - must be good for 6 months after event date

  • Staff will contact cardholder if needed
  • DRIVER LICENSE EXPIRATION DATE:*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Cancellation Policy Acknowledgment

  • I, * , 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) * (Date of Rental)   Pick a 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 about 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 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 that 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 the collection of those funds.

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