skip to content
Survey Header Image

Facilities Use Request Club/County Event

 

Information and Facilities Use Form for Placer County 4-H Club and County Events


Before the event can be posted on the web or included in the newsletter the following information must be given to the 4-H office:

Allow a minimum of 10-14 days for processing of additional dates and times for existing insurance agreements. New agreements may take longer

   
   

Facility Information

Some information has changed, please read!

Please contact the facility you wish to use, set dates and determine cost and if they will require a Certificate of Insurance. Some facility may also have a contract or an application to fill out. DO NOT SIGN CONTRACTS or APPLICATIONS! If either is required, the contract or application is with the University of California Extension Placer Nevada (UCCE Placer Nevada). It must be reviewed and signed by the County Director. If you sign a contract or application you are personally responsible, not the university.  Please submit the contract to the 4-H office. 

The following information is often required by the facility:

   
   
   
   

Additional Information about Event

   
   

If you provide the information, the 4-H Office can format the forms for you. Either way they will need to be submitted to the 4-H office for approval and required additions by the UCCE.

   

Account information