Facility Reservation Permit Form
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1
2City of Post Falls
Parks & Recreation Department
Permit #
________
FACILITY RESERVATION PERMIT
Phone: (208) 773-0539
Fax: (208) 773-7658
2 BUSINESS-DAY ADVANCE NOTICE REQUIRED FOR RESERVATIONS
Company / Group Name: _____________________________________ Date of Event: ________________________
Contact Person: _____________________________________________Phone: _____________________________
Person Responsible: _________________________________________ Phone: ______________________________
Mailing Address: ___________________________________ City: ___________________ State: ______ Zip _______
Contact E-Mail Address: _____________________________________________
RESERVATION INFORMATION
Park Requested: _____________________________________Shelter Name: ________________________________
Time period for use _____________ to _____________
(Facilities available after 9:00am)
No. of people expected? _____________ Extra picnic tables requested ($10/table): How many? ____________
Type of Event (Please circle):
Picnic
Wedding
Family Reunion
Class Reunion
Other (Below)
(Please explain):________________________________________________________________________________
Q’EMILN PARK: Grand Pavilion Only: Heat & Lights are available for an additional fee of $25/hr. Changes can be
made up to 48-hours prior to event. Kitchen facilities are not available at the Grand Pavilion.
Parking fees are implemented at Q’emiln Park, from Memorial Day to Labor Day.
Heat & Lights?
________Yes ________No
($25/hr).
Time period
________To
________
(Beginning to end time for heat and/or lights)
Parking Tab?
________Yes ________No
If yes, you will be responsible for paying the parking tab. We will invoice you after your rental.
If no, people are responsible for their own parking fees.
===========================================================================================
FEE & SERVICE CALCULATION (office use only)
Facility Fee: $_____________
Extra Tables (How many?) _________
($10/table) $________ Catering Fee ($25) $ __________
Heat/Lights ($25/hr) $ ________ Amusement Fee ($25) $_________ (See restrictions on reverse side)
TOTAL FEES: $ ___________
Date Paid: __________ Receipt #: _________ Staff Approval: ______________________________
Special Notes:___________________________________________________________TOTAL NO. OF TABLES______________
Please complete this form and return with payment to: P.F. Parks & Rec. Dept, 408 N. Spokane St., Post Falls, ID 83854
If paying by credit card, please fax to (208) 773-7658, or e-mail reservation form to: ,
& call to give us your information.
Please note: A convenience fee will be charged on all debit/credit cards.
Revised Form: November, 2013
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