Discussion and Consideration of Changing the Agreement for Service for Field Rental in the Parks & Recreation Department – Motion to Approve

CITY PARK BALL DIAMONDS- AGREEMENT FOR USE City of Tiffin Parks and Recreation Department 809 E Marengo Rd, Tiffin, Iowa 52340 - (319)519-3133 – [email protected] APPLICANT INFORMATION Name of Individual or Sanctioning Organization__________________________________________Website___________________________ Name of Tournament or Event_______________________________________ Name of Contact Person_______________________________ Mailing Address________________________________________________________________City________________Zip Code________ Home #______________________________Work #______________________________Cell #______________________________ Primary E -Mail________________________________________ Secondary E -Mail________________________________________ Is event open to public or invitational only? __________________ Will anything be sold at your event? Yes______ No_____ FIELD LIGHT USAGE? Yes______ No______ Gate Fee Collected? Yes______ No_____ ANTICIPATED # OF TEAMS: _____________ ANTICIPATED # OF GAMES: ____________ DATES: DATES: 1st choice: Sat.( / ) Sun.( / ) Other( / ) 2nd choice:Sat.( / ) Sun.( / ) Mon.( / ) mo. day mo. day mo. day mo. day mo. day mo. day # OF FIELDS REQUESTED: (4 fields) TIMES: (Sat. 8am- 9pm and/or Sun. 8am-4pm) Saturday________________________ Saturday Gates Open_____ Field Start Time______ Field End Time______ Sunday_________________________ Sunday Gates Open_____ Field Start Time______ Field End Time______ Other __________________________ Other Gates Open_____ Field Start Time______ Field End Time______ FIELD SET UP &/or SPECIAL REQUESTS: FEES: Damage/Cleaning Deposit (must accompany “Agreement for Use”) $500 per weekend Weekend Diamond Rental Fee $1,300 full facility (4 diamonds ) Saturday Only $750.00 full facility (4 diamonds) Sunday Only $600.00 full facility (4 diamonds) Weeknight Full Complex Contact office for pricing and availability Aux Fields #5 & #6 $24/hr Bag of Field Dry $10 /bag Bag of Chalk $8/bag Total ~ DEPOSITS MUST BE PAID BY EITHER CREDIT CARD AUTHORIZATION OR CASHIERS CHECK MADE PAYABLE TO THE “CITY OF TIFFIN” ~ FEES MUST BE PAID BY CHECK (MADE PAYABLE TO THE CITY OF TIFFIN), CREDIT CARD, CASHIERS CHECK OR CASH AND MUST BE RECEIVED 4 WEEKS IN ADVANCE OF DATE OF USE UNLESS POST EVENT BILLING ARRANGEMENTS HAVE BEEN MADE. NO REFUND OF FEES AFTER THIS DATE UNLESS THE DEPARTMENT CANCELS DUE TO WEATHER OR OTHER UNFORSEEN CIRCUMSTANCES. The undersigned, being of legal age and in consideration of the opportunity to use above facilities of the Tiffin Parks and Recreation Department, and to participate in the activities identified above, hereby agree to assume full responsibility for any risk resulting from participation in any activity and I further agree to indemnify and hold harmless the City of Tiffin, its officials and officers, employees, agents and representatives, from any and all claims, causes of action, demands, and expenses of every kind, resulting from or relating to third party or his/her property, arising out of use of the facilities or relating to the activity which is the subject matter of this executed form. Further, I have read and understand the Park Regulations, as codified in, the Tiffin Parks and Recreation Rental Policies and Procedures, and agree to abide by them, to ensure that other invited participants abode by said regulations, to assume responsibility for any theft or damage of equipment, facilities, and grounds as a result of such use, and to fully reimburse the City for the expense of any theft or damage, including excessive cleanup. Signature Date FOR OFFICE USE ONLY Date of Receipt / / Deposit $ Check # Deposit returned / / . Employee Initials Rental Fees $ Check #