Application for Use of Indoor City Facilities
(APPLICATION MUST BE SUBMITTED IN PERSON)
Submission of application does not guarantee a reservation until approval by the Community Services Director or his/her designee.
Name of Applicant (s) _______________________________________ ________________________________________ Phone numbers: Cell ___ Home _____________________
Address __________________________ Unit # _ ________
City _____ Zip Code ________
A valid picture I.D. is required at the time of application to verify age and/or residency.
Proof of Signal Hill Residency (if applicable): Driver’s License Current Utility Bill Employed in Signal Hill I certify that I am a resident of Signal Hill and that I will be onsite at the event for the entire duration of the event. I understand that if I am found to be renting the facility for a non-resident, the non-resident fees will be deducted from my deposit.
Ļ Initials: __________
Refundable damage deposit will be mailed to the address provided 6 to 8 weeks after your event Description of Event: ___________________________________________________________________________ Event time should reflect setup and cleanup. Please allow a minimum of one hour for cleanup.
Event Date: _______________ Event Day: ______________ Rental Start time: ________ Rental End time: __________ Space Requested 5:
Community Centers
F Discovery Well Park Community Center (standard room set up 6 round tables and 36 chairs diagram) Only 36 seating max Will food be served?
Yes
No (no red food/drink)
Will event be professionally catered?
Yes
No If yes, name of catering company____________________________ Will the event include musical entertainment?
Yes
No If yes, what type?
Band
DJ
Radio
Bluetooth Speaker
F Signal Hill Park Community Center (attach room set up diagram) Capacity: 100 Available Rental Times: 8:00am-10:00pm Monday, Tuesday, Wednesday, Thursday / 8:00am-10:00pm Friday, Saturday, & Sunday Will food be served?
Yes
No (no red food/drink)
Will event be professionally catered?
Yes
No If yes, name of catering company _____________________________ Will the event include musical entertainment?
Yes
No If yes, what type?
Band
DJ
Radio
Bluetooth Speaker
***Room & carpet condition has been viewed INITIALS:________ Library Facilities
F Library Community Room (attach room set up diagram) Capacity: 48-70 (depending on room set-up) Available Rental Times: 8:00am-10:00pm Monday, Tuesday, Wednesday, Thursday / 8:00am-11:00pm Friday, Saturday, Sunday Will food be served?
Yes
No (no red food/drink)
Will event be professionally catered?
Yes
No If yes, name of catering company _____________________________ Small serving kitchen included
Will the event include musical entertainment?
Yes
No If yes, what type?
Band
DJ
Radio
Bluetooth Speaker
F Library Zinnia Courtyard Capacity: 54
Only available when the library is closed.
Available Rental Times: 5:00pm-10:00pm Wednesday, Friday, Saturday / 8:00am-10:00pm Sunday Will food be served?
Yes
No (no red food/drink)
Will event be professionally catered?
Yes
No If yes, name of catering company _____________________________ Will the event include musical entertainment?
Yes
No If yes, what type?
Band
DJ
Radio
Bluetooth Speaker
Revised
Josh Lowenthal, Lizeth Chimal
Women of Distinction, Assembly District 69
3/30/23 3/30/23 3:30 6:30
EXPECTED ATTENDANCE: Adults Children Total Attendance ___________ Is the public invited? F Yes F No Will admission/donations be charged/accepted? F Yes F No __________________________________________
APPLICANT VERIFICATION
I, the undersigned, on behalf of the above named organization, do hereby agree to indemnify the City of Signal Hill, according to the attached indemnification form, and to abide and enforce the rules, regulations and policies governing the facility as set forth by the City of Signal Hill.
SIGNATURE OF APPLICANT: _____ _____________________________ DATE: ______________ Community Services Department 1800 E. Hill Street Signal Hill CA 90755 (562) 989-7330 F Library Community Room & Zinnia Courtyard Capacity: 80 Only available when the library is closed.
Available Rental Times: 5:00pm-10:00pm Wednesday, Friday, Saturday / 8:00am-10:00pm Sunday Will food be served?
Yes
No (no red food/drink)
Will event be professionally catered?
Yes
No If yes, name of catering company _____________________________ Will the event include musical entertainment?
Yes
No If yes, what type?
Band
DJ
Radio
Bluetooth Speaker
F Library Learning Center (attach room set up diagram) Capacity: 35 Available Rental Times: 12:00pm-8:00pm Monday, Tuesday, & Thursday / 10:00am-5:00pm Wednesday, Friday, & Saturday Closed on Sundays & Holidays
Pre-packaged snacks and bottled drinks only
F Signal Point Terrace (attach terrace set up diagram) Capacity: 160 Available Rental Times: 8:00am-8:00pm Monday – Sunday
Will food be served?
Yes
No (no red food/drink)
Will event be professionally catered?
Yes
No If yes, name of catering company _____________________________ Small serving kitchen included
Use of sound system?
Yes
No
*** Existing speaker for sound only & microphone use. No live music or DJ permitted on Signal Point Terrace. 80 20
3/1/23
100
To whom it may concern:
In honor of Women’s history month, we would like to celebrate some of the remarkable women within the 69th District in a “Women of Distinction” ceremony. The office of Assemblymember Lowenthal intends to use the Signal Point Terrace on March 30th for this momentous occasion.
The event will begin at 4:30pm and end at 5:30pm. The expected attendance is 100 guests. Nonalcoholic beverages such as water, soda, and juice will be provided for guest along with finger foods.
Additionally, we will require the use of the sound system and microphone4 Rectangular tables and 80 chairs if available.
If you have any questions, please contact:
Lizeth Chimal
Email:
Phone: