Placerville, CA · El Dorado County
Application for Use of Pavilion, Gazebo and Fields
This application lets individuals and organizations request use of Placerville’s pavilion, gazebo, or fields for an event.
What this form is
Use this application to request a reservation at the Gold Bug Park Pavilion or Lions Park Gazebo or fields. It asks for event dates and times, applicant and organization contact details, attendance, planned activities, and equipment needs. The form also includes a release and indemnification agreement; events with more than 50 attendees require a separate Special Event Application.
Who needs it
Individuals or organizations seeking to reserve the Gold Bug Park Pavilion, Lions Park Gazebo, or fields for an event need this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the applicant also signs and dates the release and indemnification agreement.
How to submit this form
- 1
Download The Application
Download the Pavilion, Gazebo and Fields application PDF.
- 2
Complete The Application
Fill in the event, applicant, organization, attendance, activity, and equipment details, then sign and date the application and release.
- 3
Gather Any Required Attachments
For events with over 50 individuals, include a Special Event Application. If insurance is required, submit proof within 14 days of application submittal.
- 4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Pavilion, Gazebo and Field Use Application?
- No. This application and its release and indemnification agreement are signed and dated without a notary.
- Who can use this application?
- Individuals and organizations can use it to request a reservation at the Gold Bug Park Pavilion or Lions Park Gazebo or fields.
- How do I submit the Pavilion, Gazebo and Field Use Application?
- The form does not specify where to submit it. Submit it to the city department named on the form; check the city website for current contact details.
- What additional application is required for events with over 50 people?
- The form says events with over 50 individuals are considered Special Events and require a Special Event Application in addition to this rental application.
