Skip to Main Content
Loading
Close
Loading
Cosumnes Community Services district
Jobs
Register Online
Social Media
/QuickLinks.aspx
Search
District
Community
Doing Business
How Do I...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Board of Directors
Claims
Contact Us
Cosumnes CSD
Fire Department
Park & Facility Development
Parks & Recreation Department
Request for Public Records
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Facility Rental Application
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
FACILITY REQUEST APPLICATION
Please select from the following facility's in which you are inquiring.
Wackford Community Aquatic Complex
Valley Oak Ballroom
Teen Center
Poppy Room
Willow Room
Elk Grove Park
Pavilion
Strauss Island
Laguna Town Hall
Reception Hall
Courtyard
Albiani Recreation Center
Lippincott Hall
Swallowtail Room
Monarch Room
APPLICANT CONTACT INFORMATION
Name and DOB of individual responsible for event
First Name
*
Last Name
*
DOB
Must be 18 to apply
Application on behalf of:
*
-- Select One --
Individual
Non-Profit
Organization
Business
Name of Non-Profit, Organization or Business
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Email Address
*
ALTERNATE CONTACT
Name
*
Email Address
Phone Number
*
RENTAL INFORMATION
Type of Activity/Event:
*
Approximate Attendance:
*
Rental Date:
*
Rental Date:
Start Time
*
Start Time
Rental times must include set-up and clean-up
End Time
*
End Time
Rental times must include set-up and clean-up
TELL US MORE ABOUT YOUR EVENT:
Will Alcohol be served?
*
-- Select One --
Yes
No
**Not allowed for any events that are honoring a minor**
Will Alcohol be sold?
*
-- Select One --
Yes
No
Will Food be served?
*
-- Select One --
Yes
No
Unknown
Type of amplified Sound
*
-- Select One --
In house Sound System (fee $50)
DJ
Band
Speeches/Announcements
Karaoke
Other
Are you requesting a Non-profit Rate?
*
-- Select One --
Yes
No
Will there be an admission fee?
*
-- Select One --
Yes
No
**All admission fees need to be pre-collected/sold**
APPLICATION SIGNATURE
Counterparts. This Agreement may be executed in two or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument. I understand that I will be contacted by a CSD representative within three business days from the date the application is submitted and that my application for the use of the facility is not final until a contract is signed and a payment is made. I attest that all the information provided in this application is true and correct.
Electronic Signature Agreement
*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
*
Date/Time of Submission
*
Date/Time of Submission
Date/Time of Submission
How did you hear about our facility?
*
-- Select One --
Social media
Activity Guide
Flyer/poster
Referral
Google
Other
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
Fire
Our Department
Message from the Fire Chief
Fire Department Strategic Plan
History of Cosumnes Fire
Stations & Facilities
Fire Station Tours & School Visits
William Perry Schulze Fire Training Facility
Safely Surrender Baby Program
Life Jacket Loan Program
Department Organization
Fire Administration Branch
Operations Branch
Emergency Medical Services
Fire Prevention Division
Fleet Maintenance
Training
Special Operations
Mutual Aid Deployments
Careers & Training
Fire Recruitment
Firefighter Candidate Testing Center
Firefighter Internship
Training
William Perry Schulze Fire Training Facility
Next Generation SMART Concept - 911 Go
Public Safety
CERT
Calendar
CERT History
CERT Training
CERT Volunteers
Regional Links
FAQ's
Contact Us
Emergency Preparedness
Emergency Alerts
Medical Emergency
Pull To the Right
When to Call 911 & What to Expect
Why Does a Fire Engine Come With an Ambulance
Public Education
Health Tips
Home Safety
Safety Presentations
Seasonal Safety
Youth Safety
Regional Safety Day
Business
Bids & Procurement
Burn Permits
Fire & Incident Reports
Fire Prevention Standards
First Responder Fee
Forms & Handouts
Plan Review and Inspections
Special Event Permits
Weed Abatement
Parks & Recreation
Visit A Park
Elk Grove Park
Parks List
A - G
H - N
O - Z
Trails
Dog Parks
Elk Grove Bike Park
Emerald Lakes Golf Course
Skate Parks
Water Play & Spraygrounds
Swimming Pools
Elk Grove Aquatics Center
Jerry Fox Swim Center
Wackford Aquatic Complex
Water Play & Spraygrounds
Accessible Playgrounds
Future Parks & Facilities
Picnic Rentals
Find A Program
Activity Guide
Adapted & Inclusive Recreation
Aquatics
Aquatic Camps
Certifications & Classes
Pool Rentals
Recreation Swim
Swim Clinics & Competitive Swim
Swim for Fitness
Swim Lessons
Water Fitness Classes
Golf Classes
Kid Central Programs
Kid Central Before and After School
Kid Central Off-Track Camp
Kid Central Summer Camp
Scholarship Programs
Special Events
Event Sponsorship
Breakfast with the Bunny
Breakfast with Santa
Comedy Under the Stars Series
Community Campout
Co-Sponsored Events
Elk Grove FitFest
Elk Grove Giant Pumpkin Festival
Family Dance
Giant Pumpkin Grower's Spring Social
Healthy Kids Extravaganza
Hot Summer Nights Concert Series
Kids' Night Out Parents' Night Off
Kids Warrior Challenge
Magnet Fishing
Pool of Pumpkins
Regional Safety Day
Sweetheart Soiree
Sports
Adult Sports
Youth Sports
Summer Day Camps
The Grove Teen Center
Teen Committees
Teen Programs & Events
Tiny Tot Preschools
Preschool Locations
Preschool Forms & Resources
Toddler Time/Buddy Bunch
Volunteer Opportunities
Permits & Rentals
Field Rain Out Information
Film, Video & Photo Permits
Picnic & Park Rentals
Pool Rentals
Reception & Meeting Rooms
Wackford Valley Oak Ballroom
Laguna Town Hall Reception Hall
Elk Grove Park Pavilion
Strauss Island at Elk Grove Park
Albiani Recreation Center Lippincott Hall
Meeting Rooms
Special Events Permits
Sport Facilities
Field Allocation
About
Recreation & Community Services Division
Recreation Programs
Teach A Class
Park & Golf Operations Division
Advisory Committee
Landscape and Lighting Assessment Information
Park Maintenance Issues
Parks List
Partners for Parks
Playground Safety
Storm Water Management Plan
Water Conservation
Urban Forest
Bids & Procurement
Event Sponsorship
Gifts For Tomorrow
How Are We Doing?
Parks & Recreation Master Plan
Parks & Recreation Strategic Plan
Jobs
Activity Guide
Burn Permits
Bid Postings
Parks, Stations & Facilities
Report an Issue
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow