RANCHO SIMI RECREATION AND PARK DISTRICT

1692 Sycamore Drive, Simi Valley, CA. 93065, (805) 584-4400

 

 Facility Reservation Request Form
 PLEASE NOTE:
**Permits for Moon bounces only (no picnic pavilions or facilities/rooms), must be requested a minimum of one week in advance.
**All other rentals such as picnic pavilions and facilities/rooms, must be requested a minimum of two weeks in advance.

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Name:                                           

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:                   

Music: (yes or no)                    

Moonbouncer: (yes or no)           (see notes at the top)

Ball Field: (yes or no)               

Alcohol: (yes or no)                 

Sales: (yes or no)                     

Picnic Pavilion: (yes or no)       

Grass Area Only: (yes or no)    

Gazebos: (Qty 0 - 3)                

Electricity Needed: (yes or no)  

Security: (yes or no)