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2. 

4. Fill out this form to request the use of a pavilion, shelter, or stage at one of the city's parks. This permit may be used for private events including family, church, or group picnics, weddings, etc.

6. Choose Which Park

   Choose which park and pavilion/shelter you are requesting.

8. Centennial Park

   1. Rotary Pavilion
   2. Pavilion #1
   3. Pavilion #2
   4. Pavilion #3
9. Rudd Park

   1. Pavilion #1
   2. Pavilion #2
   3. Pavilion #3
10. Margaret, Mountain View, and Veterans Parks

    1. Pavilion at Margaret Park
    2. Pavilion at Mountain View Park
    3. Stage at Veterans Park
12. Date*
    Date
13. Start and End Time*
    Start and End Time Start Time

    —

    Start and End Time End Time
15. Description of Use*
17. Other Facilities
19. Name of Person/Group*
21. Address*
23. City*
24. State*
25. Zip Code*
27. Email*
28. Primary Phone Number*
30. Read and Check*

    Please check each box to indicate you have read the information.

    1. Facility Permit Only: Park pavilions or other limited facilities may be reserved using this permit.
    2. Permit on site: You must have this permit on the premises at all times. call (719) 269-9011 to cancel permits.
    3. Buying, selling, trading products or services, charging fees, soliciting donations, or conducting fund-raisers are prohibited with this permit. Sale or consumption of alcoholic beverages is prohibited
    4. Wedding Ceremonies are allowed on pedestrian bridges but picnics or receptions are prohibited (Do Not Block Bridge).
    5. State COVID-19 Dial Capacity Level Restrictions must be followed on the day of the event as listed on the FCDPHE website.
32. Indemnification:

    By signing below, Applicant hereby expressly exempts and releases the City, its officers, employees, and insurers from and against all liability, claims, and demands, on account of injury, loss, or damage, including without limitation claims arising from property loss or damage, bodily injury, personal injury, sickness, disease, or death, that Applicant may incur as a result of such use, whether any such liability, claims, and demands result from the act, omission, negligence, or other fault on the part of the City, its officers, or its employees, or from any other cause whatsoever.

34. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
36. Electronic Signature*
37. Date*
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field