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2. Park Reservation Request
   The facilities which you will be using belong to the citizens of Bothell and are under the supervision of the City of Bothell Parks and Recreation Department. To preserve the rights of the public for the use of a public recreation facility, a few rules and regulations are necessary and we ask you and your group to cooperate. A summary of the rules are listed as part of this permit and a full listing of the rules is available on the City of Bothell website www.bothellwa.gov, see Bothell Municipal Code, Title 8, Section 8.6.
3. 
5. PLEASE NOTE: YOUR RESERVATION ENTITLES YOU TO USE THE AREA YOU HAVE RESERVED. THE PARK REMAINS OPEN TO THE GENERAL PUBLIC AT ALL TIMES.
7. Contact Information
   Please only use this form if your group is less than 100 people. If your group is more than 100 people you will need to fill out a Special Event Application.
9. Contact Name:*
10. Organization (if applicable):
12. Street Address:*
13. City:*
15. State:*
16. Zip Code:*
17. Day Time Phone:*
19. Cell Phone:
20. Email:*
22. Reservation Information
24. Type of Event:*
25. Date requested:*
    Date requested:

    Date requested:
    If more than one, list all dates/times in "Additional Comments."
26. Estimated # of people attending:*
28. Additional Comments:
30. Facility Requested - Park at Bothell Landing (check all that apply):

    1. Park Lawns
    2. Lawns adjacent to 522
    3. Gravel Parking Lot
    4. Amphitheater
31. Other Park/Facility (please describe):
33. Describe your event setup & any special equipment (photo/video shoot, amplified sound, bounce house, etc.):*
34. For 2022 fees, please see:
    2022 Fee Schedule
36. WAIVER OF LIABILITY
    The undersigned hereby requests, of the City of Bothell Parks & Recreation, use of the facilities described on the park reservation form and certifies that the information in its request is correct. The undersigned agrees to exercise the utmost care in the use of these facilities and property and by signing below applicant hereby agrees to indemnify, defend and hold harmless the City, its elected and appointed officials and employees while acting within the scope of their duties, from any and all claims, demands and causes of action of any kind or character, foreseen or unforeseen, for damages including but not limited to personal injury, death or property damage as well as the cost of defense costs, court costs, witness and attorneys' fees, in any way arising out of the granting of this permit or arising out of the applicant's use of the public area or other premises permitted by this permit, except for damages arising out of the City's sole negligence. Applicant expressly waives his/her immunity under title 51 of the Revised Code of Washington, the Industrial Insurance Act, for injuries to his/her employees and agrees that the obligation to indemnify, defend and hold harmless provided for in this paragraph extends to any claim brought by or on behalf of any employee of the applicant. I have read the above rules and regulations for City of Bothell Parks & Recreation and agree to abide by them. | There is no legal or binding commitment between the Renter and the City of Bothell until after the Rental Contract is signed by both parties and rental fees have been paid in full.
38. I have read & agree to the above Waiver of Liability:*

    1. Yes
40. Please check that you have read & agreed to the following Bothell park rules:*

    1. City parks are open from 30 minutes before sunrise until 30 minutes after sunset.
    2. No alcohol is permitted in any City park.
    3. No smoking or tobacco products are permitted in any City park.
    4. Amplified sound (music, microphones, etc.) must be approved in writing by the City of Bothell.
    5. Groups planning to have a bounce house/dunk tank/etc. must receive prior written approval, and are required to submit a certificate of insurance naming the City as additional insured.
    6. Reservations must be made in the name of the person responsible for the event. Independent party planners must provide the name of the company using the park and a letter of authorization.
41. Bothell Park Rules:
    BMC 8.60 - Park Use Rules & Regulations
43. CANCELLATION & REFUND POLICY:
    A full refund will be given if the City of Bothell cancels a facility reservation. | More than 30 days notice of cancellation: 100% refund | 15 to 30 days notice of cancellation: 50% refund (unless re-rented) | 14 days or less notice of cancellation: No refund (unless re-rented) | All cancellations are subject to a $10 processing fee.
45. Please type your name/signature:*
46. Date:*
    Date:
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field