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2. 
3. Application for Reserving Pioneer Hall

   Note: This application is for reserving Pioneer Hall Only. If you are planning a special event, please visit our Special Event page for more information or contact us at parksinfo@ashlandoregon.gov

5. Applicant Name*
6. Organization
8. Type of Event*

   (Wedding, Birthday, Meeting etc...) Please let us know what type of event you are planning and any details you think would be helpful while reviewing your request.

10. Mailing Address*
12. Phone*
13. Email*
15. Date of Event*
    Date of Event

    For 1 day events, use this box.

16. Additional Dates

    Please list additional dates that you wish to reserve Pioneer Hall. 

18. Hours of Event*
    Hours of Event Start Time

    —

    Hours of Event End Time

    Hours for Pioneer Hall are 8am–9pm. Please ensure your event, cleanup, and lockup are completed by 9pm.

20. Phone for on-Site Contact *
21. On-Site Contact Person (Day of the Event)*
23. Will You be Serving Alcohol?*

    1. Yes (Separate Approval and Permits May be Required)
    2. No
24. Supporting Documents (optional)

    Use this to upload a copy of insurance, or anything else that you think would be helpful for us to know while reviewing your application. 

28. I HEREBY CERTIFY THAT

    I/we are authorized representative(s) of the above organization, that the above statements are true to the best of my knowledge and I/we agree on behalf of our group to assume liability at all costs for any misuse or damage to public property, to be bound to the policies and regulations of the City of Ashland, and to adhere to any additional requirements imposed by the City of Ashland. I further understand that if any information on this permit request is found to be fraudulent or a misrepresentation of the facts, the permit may be revoked. I agree to indemnify, defend and hold harmless the City, its officers, representatives, employees and agents from any and all claims solely attributable to a permitee’s activities conducted during the event.

30. Acknowledgement*

    1. I agree

    I understand any specified Additional Requirements will be emailed along with the approved permit.

32. I AGREE TO COMPLY WITH THE PERMIT AND ALL ABOVE-REFERENCED CONDITIONS

34. Signature*
35. Date*
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field