CITY OF LAGUNA BEACH-COMMUNITY SERVICES

NON-COMMERCIAL FILM PERMIT APPLICATION

515 Forest Avenue, Laguna Beach, CA 92615
mtracy@lagunabeachcity.net (949) 497-0779

$100 (2 HOURS) - EACH ADDITIONAL HOUR $50

MAXIMUM USE FEE $400 (8 HOURS)
Non-refundable

1.__________________________________________________________________________
COMPANY

2.__________________________________________________________________________
MAILING ADDRESS CITY

_______________ _______________ _______________________________________

STATE ZIP CODE EMAIL

3.___________________________________ ____________________ ___________

REPRESENTATIVE AND TITLE PHONE FAX

4. PHOTO SHOOT TYPE: FAMILY _______ ENGAGEMENT ______ WEDDING _______

PET ______ OTHER (DESCRIBE) ____________________________________________

5.__________________________________________________________________________
LOCATION (BE SPECIFIC)

6. DATE: HOURS (MINIMUM OF TWO): FROM _________TO ___________

7.__________________________________________________________________________
PERSON ON SITE RESPONSIBLE FOR ADHERENCE TO PERMIT TERMS AND
CONDITIONS

APPLICANT HEREBY ACCEPTS THIS PERMIT AND AGREES TO ABIDE BY ALL THE TERMS AND
CONDITIONS THEREOF. APPLICANT FURTHER AGREES TO INDEMNIFY AND HOLD THE CITY (AND
ITS OFFICIALS, OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES) HARMLESS FROM ANY
CLAIMS, LIABILITY OR JUDGMENTS DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR
ANY OTHER DAMAGES OR INJURIES WHICH MAY RESULT UNDER THIS PERMIT.

BY _________________________________________ DATE ___________________________

SIGNATURE