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Facilities Use Application

2. 
3. APPLICATION FOR FACILITIES USE
   City of Warrenville Community Development Department, 3S258 Manning Ave, Warrenville, IL 60555, Phone 630-393-9050
5. IMPORTANT!
   Filing this request form does not guarantee approval of the facility nor time requested. Community Development will confirm the requested date only after the payment is received at City Hall and if your requested date is available. 2021 PARK REQUESTS WILL NOT BE ACCEPTED UNTIL 8:00 AM, 1/4/21.
7. Applicant information
   Before completing this application check the schedule to assure your preferred venue is available.
9. Residency status*

   Select one

   1. I am a resident of Warrenville
   2. I do not reside in Warrenville
10. Permit number
11. Date Approved
    Date Approved
13. Applicant Name*
14. Applicant Email
16. Applicant Address
17. Phone
19. City
20. State
22. Is this event with an Organization ?

    1. Yes
    2. No
24. Organization Name
25. Email
27. Address
28. Phone
30. City
31. State
33. Select the Facility You Are Applying For*
    -- Select One --Cerny Park Albright Park - GazeboLeone Schmidt Heritage ParkBob Walters Commons
35. Cerny Park

    This facility is located at 28W415 Forestview, Warrenville. The maximum capacity for this facility is 200 persons.

    1. This is the facility I'm requesting.
37. Albright -Gazebo

    This facility is located at 28W710 Stafford Place, Warrenville. The maximum capacity for this facility is 200 persons.

    1. This is the facility I'm requesting
39. Leone Schmidt Heritage Park

    This facility is located at 28W164 Warrenville Road, Warrenville. The maximum capacity for this facility is 75 persons.

    1. This is the facility I'm requesting
41. Bob Walters Commons

    This facility is located at 28W710 Stafford Place, Warrenville. The maximum capacity for this facility is 200 persons.

    1. This is the facility I'm requesting
43. Date and time requested*
    Date and time requested Start Date

    Date and time requested Start Time

    —

    Date and time requested End Date

    Date and time requested End Time
    Check the schedule for availability and then provide the start and end date and time of your function.
45. Fees
47. Resident fee options

    Check all that apply. Add total of fees plus $50 security bond. Enter the total in the fee box.

    1. Private or non profit = $25
    2. Commercial = $75
    3. Electric Power needed = $5
    4. Up to 10 tables and 120 chairs = $50
48. Non Residential fee options

    Check all that apply. Add total of fees plus $500 security bond. Enter the total in the fee box.

    1. Private or non profit = $50
    2. Commercial = $150
    3. Electric Power needed = $5
    4. Up to 10 tables and 120 chairs = $50
49. Total of fees
    City staff reserves the right to correct fees upon issuing permit.
50. Method of Payment
    -- Select One --Cash/ CheckDiscoverVisaAmex
52. Refund bond to
    -- Select One --ApplicantOrganizationOther
53. Send bond refund to
    Provide Name and address of where to send the bond refund if you selected Other.
55. PERMIT /WAIVER AGREEMENT *
    The City of Warrenville hereby grants the aforementioned applicant permission to use the facility requested under the terms as herein indicated. Applicant: I have read and reviewed this application for permit to use the City Hall meeting room(s) and hereby agree to abide by and conform to all guidelines. I also agree to inform all other participants of said guidelines and require them to also abide by and conform to such guidelines. It is fully understood and agreed by all parties that the Sponsoring Organization guarantees to hold the City of Warrenville harmless against any and all suits of any manner which might arise as a result of the permitted activities that the Sponsoring Organization agrees to defend and indemnify said City against any and all expenses incurred in the defense of any suit of any type arising out of the covered activity and any damages, judgments or decrees which might be awarded against said City in the event that suit should be brought as the result of the covered activity(ies) as identified above. The City of Warrenville reserves the right to reject any application, and suspend or terminate use of the building if the guidelines are not practiced as stated on the attached form. By typing your initials in the white box above, you warrant the truthfulness of the information provided herein. If any such information is incorrect or permit is issued wrongfully, based on misinformation, permit may be revolved.
56. Today's Date*
    Today's Date
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit Submit and Print

* indicates a required field