RANCHO SIMI RECREATION AND PARK DISTRICT
1692 Sycamore Drive, Simi Valley, CA. 93065, (805) 584-4400
Facility Reservation Request Form
Address:
City, State, Zip: Daytime Phone Number:
E-mail Address:
Date (1st Choice):
Date (2nd Choice):
Location (1st Choice):
Location (2nd Choice):
Time of Event:
Purpose of Event:
Organization:
Number of Guests:
Moonbouncer: (yes or no)
Alcohol: (yes or no)
Picnic Pavilion: (yes or no)
Gazebos: (Qty 0 - 3)
Security: (yes or no)