Park Facilities Use Form

What dates and times would you like to use the park facility?

Special Requests:

Campfire Ring - Wilderness Park

Open Pipke Park Trail Gates

Additional tables needed - How many?

We would like to erect a tent. Describe the size and location.

Other needs -- Please describe other needs.

Use Agreement:

Name

Email

Phone Daytime Evening

Address

Group Name

By clicking here I am signing the following certification. I certify that all information provided above is accurate to the best of my knowledge and that I will assume all responsibility for proper care and utilization of the stated park facility and will abide by the rules and regulations appearing on this website. If damage results from the use of the park facilities by my group, we will be responsible for the repair of the damages. I have also viewed the notice regarding grill, fire ring, buried electrical wire, water and gas lines as well as Digger Hotline numbers to call.

Cancellations: Please make cancellations as soon as possible.

Inclement Weather: If rescheduling is necessary because of inclement weather, a new reservation form must be completed and signed.