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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 1 <br /> 1. Give a brief history of your or anization and its missionrnteyt: <br /> ^ Fay / A - P,Pe).� <br /> Ce-74"At.c &' FJve.,ER a, r?114 _ <br /> 6 <br /> 2. lease list name and title of current officers and/or board members: C,��M1 ae�f <br /> P <br /> resat 6c+h — 4^-" <br /> 3. How will the public be notified of this activity/event? <br /> fNewspaper Advertisement l Press Release <br /> ❑Radio/TV Other(please explain) -. at 0. „55 <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 /> oApproved • <br /> Approved with noted stipulations <br /> o Unapproved <br /> 3— ��.R tei <br /> Recreation Offict Supervisor Signature Date Application expiration date <br /> (No more than one year from date <br /> of Assistant Directors signature) <br /> Re tion Coordinator Signature Staff Liaison to event(if applicable) <br /> Category of use: 0 Recreation Oriented Group function 0 Teen function category <br /> ❑Go-sponsored event/activity D Private rental <br /> D Interagency/Inter-local Agreement Other <br /> ❑Charitahle fundraiser(no fee reduction can be authorized by Park-staff) <br /> Notes: <br /> s:1#common\recreation1formslfacilities12019 special use form and hold harmless.docx <br /> 43 <br />