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Facility Use Request Form
Please fill out this form, print and mail to your recreation department.
  Name of Person Requesting Use Phone Number  
  Address  
  Name of Organization  
  Address of Organization  
  Organization’s Phone Number  
  Email  
Additional Contact Person  Phone Number
  Facility/Park requested  
  Approx. number of people attending     
  Dates & times of use (be specific)  
  Area of facility to be used (be specific)  Purpose of Use:  
 
**Please provide a Proof of Insurance along with this request form.

Signature of applicant:  
 
____________________________________________________________________

Date: ____________________


Signature of Dept. staff approving use: 
 
____________________________________________________________________

Date: ____________________