Laserfiche WebLink
• 2 <br /> SECTION 2 Must be completed if: *your event is open to the public <br /> • *You are fundraising or charging a fee <br /> *You are requesting a full or partial fee reduction <br /> 1. Give a brief history of your•rganiz- ion and its mission/intent <br /> j* G. "3`i YGcGY' �� ate` Le��. fC]r.0 S4'3'14 G^ f.$6•^- .��P-�U n e <br /> _ 45 <br /> 2. Please list name and title off current officers and/or board members: <br /> p <br /> -y L�v-62a�fGt� � { oF��k�c �o s <br /> �ILL 'LE.•r 1 d r'�Z�.�'1�sic .,+�.v P^ � <br /> 644aSe7-1 Jrrvt 117c ff, — e)At ' ' ,pd^ s +T �r3�zt ruG� <br /> cJ 1` f <br /> 3. How will the public be notified of this activity/event? <br /> El Newspaper Advertisement %Press Release <br /> 0 Radio/TV p.Other(please explain)— <br /> 4. Provide a budget summary of projected revenue and expenses for this event <br /> Please note that fundraisers cannot be considered for partial or reduced fees and will be required to pay <br /> full rental fees on facilities.Events must not discriminate because of age,sex,marital status,race,creed, <br /> color,national origin or presence of sensory,mental or physical disability,No events serving alcohol will <br /> be co-sponsored by the City of Everett <br /> Please allow 301+days for processing your request. Thank you. <br /> OFFICE USE ONLY BELOW THIS LINE <br /> Approved <br /> R Approved with noted stipulations <br /> o Unapproved <br /> 1:3/65' <br /> } ~ \ <br /> Recreation Office .ipervisor Signature Date Application expiration date <br /> � (No more than one year from date <br /> ' r � '} tr.; Z5,,osistant Directors signature) <br /> anon Coordinator Signature SrfYLiaison to event <br /> Category of use: 'Recreation Oriented Group function 0 Teen function category <br /> 0 Co-sponsored event/activity 0 Private rental <br /> El interagency/Inter--local Agreement 0 Other <br /> 0 Charitable fundraiser(no fee reduction can be authorized by Park staff) <br /> Notes: . <br /> s:i#commonlrecreationlforms\facilities120'[Bspecial use form and hold harmless.docx <br /> 5 <br />