UINTAH CITY PARK RESERVATION REQUEST

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UINTAH CITY PARK RESERVATION REQUEST Event Date _______________________ Day of Week __________ Time __________am/pm to _______ __am/pm Group Name ____________________________Family Memorial Park ___Main Park (Old) ___ Old Town Hall ___ Name _________________________________Address ___________________________City ________ Zip______ Home Phone ______________________ Cell/Work Phone ______________________ Apx. Attendance ________ Fees are payable on the day the reservation request is made. Fee Schedule: Uintah City Residents Monday – Friday $25.00 Saturday/Sunday $45.00 Non-residents Monday – Friday $35.00 Saturday/Sunday $65.00

Rental Fee _________Check/Receipt # ___________Today’s Date ___________*Fee for damage or cleanup____

RULES & REGULATIONS 1) The following will not be allowed in any of the City Parks: (Ordinance 167-03) a. Alcoholic beverages of any kind d. No animals of any kind g. Rollerblading b. Smoking within 50 ft. of park areas e. Bicycles h. Golfing c. Any motorized vehicle of any kind f. Skateboarding i. Open fires 2) Leave area in a neat, clean and orderly manner before you leave. Clean up all garbage and trash, including broken balloon pieces, etc. All garbage containers must be dumped into the City dumpster on west side of the building, leaving all garbage cans empty. 3) Do not cook on tables, freeze ice cream on the grass, dump anything on, or alter the turf in any way. 4) Do not tamper with sprinklers, fountains, circuit breakers, light plugs, or restroom fixtures. 5) Climb only on equipment designed for climbing. Use playground equipment as intended. 6) Do not remove sand from sand areas. 7) Do not use muddy ball field. 8) Rental of park will include use of any of the following upon request: _________* Gas grill _______ Extra tables ______ Extension cords _______ Garden Hose ________ * Must provide your own utensils for use of the grills. Also available at all times the volley, tennis and basketball nets and ball diamond. 9) *If gas grill is used it must be cleaned up. 10) Event time closing must be prior to 10:00 p.m. 11) If the scheduled event cannot be held because the weather is too stormy or windy, the event may be rescheduled to another date within the same year. Refund of fees will be made only for non-use as a result of weather if the event cannot be rescheduled to another date within the same reservation year. 12) *List time you want to meet with Park Maintenance to get the restrooms opened __________ 13) Contact Jeff at 391-2804 with any other concerns. I have read and understand the Uintah City Park Rules and Regulations and will be responsible for the actions of this group. ________________________________________________ Signature Supervising Parks: Dave Boothe ________ Phone: 479-4595 Opening/Closing of Restrooms: Jeff Holden _ Phone: 391-2804 F: City Recorder\Forms\Park Reservation Request