Park Reservation Form - Town Of Orange Park
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1
2Town of Orange Park
Park Reservation Form
(PLEASE PRINT)
TODAY’S DATE:
1.
AREA REQUESTED:
_____Town Hall Park
(special events only)
Please check one:
___Town of Orange Park Resident
Clarke Park: ____Pecan Grove Pav. ____Beach Bay Pav.
___ Non-Town Resident
_____Bamboo Lake Pav.
(Clay, Duval, St. Johns etc.)
2.
DATE(S) REQUESTED:
DAY(S) OF WEEK:
3.
TO
NUMBER OF PEOPLE EXPECTED:
TIME: FROM
4.
PARK TO BE USED FOR:
5.
REQUESTING ORGANIZATION
:
(events only)
6.
TITLE:
NAME:
7.
ADDRESS:
8.
STATE:
ZIP:
CITY:
9.
CONTACT PHONE:
PUBLIC PHONE
:
(events only)
10.
E-MAIL ADDRESS:
FAX:
11.
SPECIAL ARRANGEMENTS REQUESTED (description of activity, tents, food, setup, water, electricity etc):
For disputes regarding reservations on day of
SIGNATURE
party, please contact OP Police non-emergency
PRINT NAME
number (904) 264-5555. Keep this receipt.
(Please make checks payable to Town of Orange Park. If paying by check, please have your driver’s license or ID
available.)
FEES: Pavilions ($26.75 resident/$53.50 non-resident for 4 hrs) Town Hall (for special events only- $26.75
resident/$53.50 non-resident for 4 hrs)
Town Hall Only: Electricity usage $25+tax/ Water usage $25+ tax. Additional fee for Town staff may apply
depending on the size of your event.
OFFICE USE ONLY—PLEASE DO NOT WRITE BELOW THIS LINE
FACILITY AVAILABILITY CHECKED AND LOGGED: DATE
SIGNATURE
REQUEST APPROVED
REQUEST DENIED
REASON FOR DENIAL
RESTRICTION(S)
FEE AMOUNT $
AMOUNT PAID $
CASH
CHECK NO_________
STAFF SIGNATURE
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