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PARK RESERVATION REQUEST

2. To view a full list of our rental policies and procedures follow the link below:
   Rental Policies and Procedures

4. THERE IS A 2 HOUR MINIMUM FOR OUTDOOR RESERVATIONS. FOR MORE INFORMATION, PLEASE CONTACT AMBER DUARTE AT 713-662-8226.

6. Select Park / Facility for Reservation*
   -- Select One --Event Lawn/PavilionLoftin ParkPavilionGazeboLoftin Park Picnic
8. First Name:*
9. Last Name:*
11. Name of Organization:
13. Phone:*
14. Birthdate:*
15. Email:*
17. Address1:*
19. Address2:
21. City:*
22. State:*
23. Zip:*
25. Description of Event:*
27. Date & Time Requested:*
    Date & Time Requested: Start Date

    Date & Time Requested: Start Time

    —

    Date & Time Requested: End Date

    Date & Time Requested: End Time
29. Will this event be open to the public?*
30. Approximate number of attendance: *
32. Is there an admission fee for this event?*

    1. Yes

    1. No
33. If Yes, please describe how admission fee(s) will be collected (i.e. at the door, online, etc.):*
35. How will this event be advertised?*

    1. Television
    2. Newspaper
    3. Social Media (i.e. facebook, instagram, snapchat)

    1. Radio
    2. None
    3. Other
37. Are you a Non-Profit Organization?*

    1. Yes

    1. No
38. If yes, Upload 501(c)(3):
40. Event Insurance Purchased?*

    1. Yes

    1. No

    If yes, must provide proof of insurance with City of Bellaire named as additional insured.
41. Event Insurance:
43. Will tents be used?*

    1. Yes

    1. No

    If yes, must show proof of fire retardant requirements.
44. Number of Tents:
45. Size of Tents:

    Construction permit needed if larger than 400 square feet.

47. Will Inflatables or other structures be used?*

    1. Yes

    1. No

    If yes, must provide Copy of insurance with City of Bellaire named as additional insured.
48. Describe planned location of inflatable structures or other items:
50. Will you need electricity?*

    1. Yes

    1. No
51. If Yes, How many poles? ($10 fee per pole)
53. Will portable restrooms be provided? *

    1. Yes

    1. No
54. If Yes, how many?
56. Location of Portable Restrooms:
58. Will alcohol be served?*

    1. Yes

    1. No

    Under certain conditions, alcohol may be served during a rental in the Civic Center or the CenterPoint Energy Community Center. A permit must be obtained from the city manager.
59. If Yes, Upload Permit:
61. Will concessions be for sale?*

    1. Yes

    1. No (Free)
62. Describe location for concessions:
64. Event Plans for COVID-19 Safety;*
    Approval of any outdoor event larger than 10 people is contingent upon GA-30and the Mayor’s authority and any restrictions in place. Nothing supersedes or suspends these requirements. Not following these guidelines for hosting an unapproved event will result in revocation of approval or enforcement action against unapproved event.
66. What type of food will be provided?
68. Purpose of concessions:
    (Who is selling, and where is the money going)
70. Will signs or banners be used? *

    1. Yes

    1. No

    If Yes, must provide copy of sign/banner permit from Development Services.

71. Has Temporary Food Dealer's Permit been obtained?*

    1. Yes

    1. No

    If yes, must provide copy of Temporary Food Dealer's Permit from Development Services.

73. BELLAIRE TOWN SQUARE PARK/EVENT USAGE LIABILITY STATEMENT
    Applicant, for and on behalf of himself/herself/itself, together with his/her/its successors, heirs, executors, administrators, assigns, partners, members, directors, officers, shareholders, employees, agents, servants, volunteers and any other persons, organizations, firms or corporations, jointly and severally, does hereby agree to defend, indemnify and hold harmless the City of Bellaire, together with all of its former and present elected and appointed officials, legal representatives, employees, agents, servants, volunteers, successors and assigns and all affiliated persons and entities, (hereinafter collectively the City of Bellaire) of, from and against any and all liabilities of every kind, claims, causes of action, losses, judgments (including all expenses of litigation, cost and attorney’s fees), fines, demands, damages, loss of use or service or injuries to real and/or personal property and/or persons (including death), known and unknown, (collectively claims) asserted by any person or entity against the City of Bellaire whether at law or in equity, in contract or tort, under statutory or common law or pursuant to the Texas or United States constitutions(s), arising out of, touching upon or in any way relating to the issuance of the permit, the event and/or to the presence, malfunction, maintenance, addition or substitution of any property owned, leased, operated, or utilized by the City and/or any other person or entity in connection with the event even if the claim is the result of the actual alleged sole negligence of the City of Bellaire and any other person or entity, and/or the actual or alleged strict, statutory of constitutional liability of the City of Bellaire, as such, the foregoing indemnity is intended to indemnify the City of Bellaire against the consequence of its sole negligence or fault and against the consequence of the negligence or fault of the City of Bellaire occurring jointly or concurrently with negligence or fault of any person or entity and against the consequence of the strict, statutory, or constitutional liability of the City.
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75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit Submit and Print

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