Community Park Pavilion Rental Permit Application

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Community Park Pavilion Rental...

ATTENTION: BEFORE COMPLETING THIS APPLICATION, YOU WILL NEED ALL OF THE DOCUMENTS LISTED BELOW. THESE DOCUMENTS NEED TO BE SAVED ON YOUR COMPUTER AND AVAILABLE TO UPLOAD WITH THIS APPLICATION.

Any information you enter on this application will not be saved if you begin and return later.

* indicates required field
1. Copy of Driver's License*
Max. file size: 512 MB.
2. SIGNED & DATED Permit Agreement and Waiver*
Max. file size: 512 MB.
A copy of this form must be completed and attached to this online application. It can be obtained at the link below:
* Permit Agreement & Waiver (Upload your signed copy of this document in the section above.)
For your reference, click here to read the Pavilion Rental Policy.
Name(s) of Permit Holder*
First Last
Additional Permit Holder
First Last
Phone*
Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Driver's License Number and State Issued:*
Type of event*
Date of event*
MM slash DD slash YYYY
Event Start Time*

: Hours

Minutes
Event End Time*

: Hours

Minutes
How would you like to receive your permit?*
- Email to the address above
- Mail to the address above
FEES:
$0 Timnath Resident / $40 Non-Resident (non-refundable) / $50 Cleanup/Damage Deposit Required (refundable)
Resident/Non-Resident?*
- $0 - I Am a Timnath Resident
- $40 - Non-Resident
- $50 - Cleanup/Damage Deposit Required - Box Must Be Checked (refundable)
Total Due*
I declare, under penalty of perjury, that the statements made herein are made in good faith, and are true, correct, and complete, to the best of my knowledge.
Signature of Permit Holder*
First Last
Date*
MM slash DD slash YYYY
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