| 1. Prospective Renter. |
| |
| Name of Club/Association/Organization/Company:
_____________________________________________ |
| National Organization(s) that
Your Association/Organization is Affiliated With (e.g., CHA, AQHA,
FEI, USDF): |
| ____________________________________________________________________________________ |
| Primary Contact Person: ____________________________________________________________________________ |
| Title (e.g., Club Treasurer):
__________________________________________________________________________
|
Business Address :
________________________________________________________________________________
|
|
| Business Telephone: ___________________________ |
Business Fax: _____________________________________ |
| Email Address: _______________________________ |
Website: _________________________________________ |
| Other Telephone Number(s) for
Primary Contact Person: ___________________________________________________ |
| |
| 2. Event Description |
| |
|
Name
of Event: ____________________________________________________________________________________
|
| Type of Event (e.g., horsemanship
clinic): ________________________________________________________________ |
| Desired Date(s) for Event: ___________________________________________________________________________ |
| Anticipated Hours of Event (include
setup and breakdown time): ______________________________________________ |
| Approximated Number of Participants
in Event: ___________________________________________________________ |
| Approximated Number of Spectators
at Event: ____________________________________________________________ |
| Approximated Number of Horses Expected
at Event: ________________________________________________________ |
| Approximated Number of Stalls Required:
_______________________________________________________________ |
|
| Will your event include or require
any of the following (check as applicable): |
|
| [_] Catering or food service/sales |
[_] Public address (loudspeaker) system |
| [_] Timed speed events, jumping or other obstacles |
|
| [_] Alcohol sales or service (requires
special use permit from Riverside County) |
| [_] Waste disposal or dumpster rental |
[_] Port-a-potties |
| [_] Special parking needs
(please describe): ______________________________________________________________ |
| |
|
| 3. Clinicians and Presenters. |
|
| |
| If your event is or includes a clinic
or presentation, please provide the following information for each
clinician/presenter. Please attach additional sheets as needed. |
| |
| Name of Clinician/Presenter: _________________________________________________________________________ |
| Company Name: (e.g., ABC
Farms): _________________________________________________________ |
Business Address :
________________________________________________________________________________
|
|
| Business Telephone: ___________________________ |
Business Fax: _____________________________________ |
| Email Address: _______________________________ |
Website: _________________________________________ |
|
|
| 3. Previous Location for this Event. |
|
| |
| When did you last hold
this event (or a similar event)? ______________________________________________________ |
| Name of facility where
event was last held: _______________________________________________________________ |
Business Address :
________________________________________________________________________________
|
|
| Business Telephone: ___________________________ |
Business Fax: _____________________________________ |
| Email Address: _______________________________ |
Website: _________________________________________ |
|
|
| Can we
contact this facility for a reference? [_] Yes [_] No |
|
|
| Why are you seeking a different facility
for this event? ______________________________________________________ |
| _________________________________________________________________________________________________ |
|
|
| 5. Person in Charge on the Day of the Event. |
|
|
|
| Name: ___________________________________________________________________________________________ |
| Title (e.g., Club Treasurer):
__________________________________________________________________________ |
Business Address :
________________________________________________________________________________
|
|
| Business Telephone: ___________________________ |
Business Fax: _____________________________________ |
| Email Address: _______________________________ |
Website: _________________________________________ |
|
|
| Other Telephone /Pager Number(s) for
Person in Charge: ___________________________________________________
|
| |
|
| Must
be a street address - no PO boxes, please. |
|
|
Must be a street address - no PO boxes, please. |
|
|
Must be a street address - no PO boxes, please. |
|
|
Must be a street address - no PO boxes, please. |
|
| |
|
| 6. Non-Refundable application
Fee. This application must be accompanied by
a non-refundable application fee of $25.00. No application will be
considered until the application fee has been paid in full. |
| |
|
| 7. Proof of Insurance. This
application must be accompanied by proof of liability insurance in
the amount of at least $2 million in the aggregate and $1 million
per occurrence. Applicant acknowledges and agrees that Zanadu Farms
may contact applicant's insurer for more information about applicant's
insurance coverage, and applicant agrees to provide any further information
or documentation as Zanadu Farms may request. |
| |
|
| Applicant: |
|
| |
| Signature: __________________________________________ |
| Print Name: __________________________________________ |
| Title (e.g., Vice President):
_____________________________________ |
| Date: _______________________________________________ |
| |
|
