FACILITIES RESERVATION APPLICATION

PLEASE COMPLETE AND RETURN TO DPW FOR APPROVAL

DATE OF EVENT______________________ RAIN DATE ______________________

TYPE OF EVENT ______________________ LOCATION OF EVENT ____________

NAME OF ORGANIZATION ______________________________________________

STREET ADDRESS ______________________________________________________

CITY/TOWN __________________________ STATE _____ PHONE # ____________

CONTACT PERSON ________________________________ PHONE # ____________

DESCRIPTION OF EVENT:

Please be sure to list all activities that are to take place during this event.

Note: Only activities listed will be allowed.

HOW MANY PEOPLE ARE EXPECTED? ______________

Department of Public Works ___________________________________ Date ________