Event Request Form

2. Fee Schedule
   <ul><li>Pavilion Rental City Residents - $10 per hour</li><li>Pavilion Rental Non-City Residents - $20 per hour</li><li>Large Group Fee (100+ persons, subject to capacity) - $50</li><li>Activity Fee - $25 per activity</li><li>Inspection Fee - $25 (weekend use only)</li><li>Live Music Permit / Electricity Fee - $50 per day</li><li>Security / cleanup deposit (refundable) - $100</li></ul>

   • Pavilion Rental City Residents - $10 per hour
   • Pavilion Rental Non-City Residents - $20 per hour
   • Large Group Fee (100+ persons, subject to capacity) - $50
   • Activity Fee - $25 per activity
   • Inspection Fee - $25 (weekend use only)
   • Live Music Permit / Electricity Fee - $50 per day
   • Security / cleanup deposit (refundable) - $100

6. Name of Group*

8. First Name*

9. Last Name*

11. Address1*

13. Address2

15. City*

16. State*

17. Zip*

19. Phone Number

20. Cell Phone Number

22. Fax Number

23. Email Address*

25. Type of Event

27. Purpose

28. Public Benefit

30. Facility *
    -- Select One --Baseball Trail ParkChattanooga ParkDeSoto ParkEntergy ParkFamily ParkHill Wheatley ParkHollywood ParkJonestown ParkLinden ParkWade Street Park

    Choose which city park pavilion you would like to rent. If you don't see your park in the dropdown list call 501-321-6871 for assistance.

31. Expected Attendance*

32. Event Date and Time*
    Event Date and Time Start Date

    Event Date and Time Start Time

    —

    Event Date and Time End Date

    Event Date and Time End Time

    Please enter your event start AND end times.

34. Chaperonage / Security Arrangements

    Please list names, addresses, and phone numbers of chaperones. One adult per twenty minors, and/or security arrangements for your event are required.

36. Special Requirements

38. Performers*

    List names, addresses, and telephone numbers.
    
    *Subject to all Parks and Trails policies, rules and regulations, including live music permit if planned. All fundraising events must display a sign stating "Donations Only," pursuant to the Transient Merchants Ordinance.

42. Criteria for a Fee Discount

    The following criteria must be met by the event/organization:

    • Nonprofit / Civic Organization
    • No charge to the public
    • Event open to the public
    • One discount per year (unless other arrangements have been made)

    
    Proof of nonprofit status must be provided with payment for event. The Parks and Trails Department reserves the right to display a Parks and Trails banner during fee discount events and activities.

    1. Please check here if applying for a fee discount.
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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

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