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Application Process

2. • Applications must be completed and submitted at least 60 days prior to the event or program. 
   • Applicants must be 18+ years old
   • A separate Facility Use Application must be submitted to the Community Services Department
   • If required, a Temporary Use Permit must be submitted to the City of Malibu Community Development Department
   • Approval is subject to availability, compliance, and City Manager or City Council determination
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Organization Information

2. Applicant Name (First and Last)*
4. Phone Number*
5. Email Address*
7. Business/Organization
8. Website
10. Type of Organization *
    -- Select One --Intergovernmental Corporation Non-Profit Organization City of Malibu Co-Sponsored Program
11. 501c3 Number
13. Mailing Address
15. City
16. State
17. Zip Code
19. Alternate Contact Name (First and Last)
20. Phone Number
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Event/Program Details

2. Name of Event or Program*
4. Facility or Park Requested
5. Type of Facility Use *
   -- Select One --Single DayMultiple DayWeeklyMonthly Sports League (season) Other
6. Date *
   Date
8. Set-Up Start Time*
   Set-Up Start Time
9. Event Time*
   Event Time Start Time

   —

   Event Time End Time
10. Clean-Up End Time*
    Clean-Up End Time
12. Has your organization previously received a City of Malibu facility fee waiver?*
    -- Select One --NoYes (specify year)
13. If yes, what year(s)?
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Description, Purpose, and Community Benefit

2. Provide a detailed description of the event or program, including its purpose:
4. Describe how this event or program provides a public benefit to the Malibu community.
6. Who will benefit from this event or program?*
   -- Select One --Malibu residentsYouthSeniorsFamiliesGeneral PublicOther

   Check all that apply

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Public Access and Fees

2. Attendance*
   -- Select One --1-2526-5051-7576-100101-150151-200201-250250+150+ (May require additional permits)
3. Event Open to the Public*
   -- Select One --YesNo
4. Admission Charged*
   -- Select One --YesNo
6. Explain and indicate whether Malibu residents receive free or reduced admission*
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Financial Information

2. Explain how the imposition of City fees would create a financial hardship or have a detrimental effect on your organization or the services provided.
4. Program or Event Budget

   Include revenue and expenditures.

5. Are there partners, sponsors, or collaborating organizations?*
   -- Select One --YesNo
7. List of partners, sponsors, or collaborating organizations.
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Marketing and Outreach

2. Describe your marketing and outreach plan, including how Malibu residents will be informed.
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Staffing and Operations

2. Number of staff and/or volunteers
4. Provide staffing/volunteer schedule and roles.
6. Describe anticipated community or facility impacts and how they will be mitigated.
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Organization Experience

2. Describe your organization's experience coordinating similar programs or events.
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Required Attachments

2. IRS 501 (c)(3) Letter or Fiscal Agent Documentation
3. Most Recent Annual Financial Statement *
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Acknowledgement and Certification

2. Applicant hereby agrees to defend and hold the City of Malibu and the State of California, the individual members and all officers, agents, and employees of the City and State, free and harmless from any loss, damage, liability, cost or expense that may arise during or be caused in any way by such use or occupancy of City property. Applicant agrees to furnish such liability or other insurance for the protection of the public, the City, and the State as may be required. The applicant also agrees to use all equipment they bring onto the premises according to the manufacturer's specific recommendations and any issues or damage that arises from the use of said equipment falls under the applicant's responsibility and liability.
4. Applicant hereto warrants and represents that he or she is competent and authorized to enter into an Agreement on behalf of the party for whom he or she purports to sign. The City and Applicant agree that the Fee Waiver Application, Facility Use Agreement, and related documents to be entered into in connection with a Facility Fee Waiver Application will be considered signed when the signature of the Applicant is delivered electronically by clicking the “Submit” button below. Such electronic delivery will be treated in all respects as having the same effect as an original signature.
6. I the undersigned, hereby certify that I will be personally responsible on behalf of the applicant for any damages sustained by the park building, furniture, equipment, or grounds accruing through the occupancy or use of said building and/or grounds by applicant. I hereby certify that I have read the rules, regulations, conditions, and terms of this application and that I, and the applicant which I represent, will abide by them and will conform to all applicable provisions of the Constitution and laws of California and to all other directives of the City, District and the State and their authorized agents. I further certify that I, and the organization I represent, will comply with all the provisions of the Americans with Disabilities Act during that period of time when authorized to use the buildings/grounds of the City of Malibu.
8. City Council Policy #53
   Facility Fee Waiver Policy
9. Facility Rental Application
   Online Application
10. Community Development Department
    TUP Information
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Signatures

2. By signing below, I certify that*

   1. All information provided is accurate and complete
   2. The organization has reviewed and meets the Facility Fee Waiver Policy criteria
   3. The event/program complies with the City of Malibu non-discrimination policy
   4. The organization agrees to acknowledge the City of Malibu in all marketing and promotional materials if a fee waiver is approved
   5. I am 18 years of age or older
4. Applicant Signature*
5. Title*
7. Date *
Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit | Go Back

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