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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Requested Pavilion*

   Please select the requested pavilion.

   1. Pells Park (Large) Pavilion
   2. Pells Park (Swan) Pavilion
   3. Pells Park (Small) Pavilion
   4. Bixby Park Pavilion
9. Date and Time *
   Date and Time Start Date

   Date and Time Start Time

   —

   Date and Time End Date

   Date and Time End Time
   Please allow for set up and clean up of event.
11. Type of event being held *
12. Number of guests expected*
14. Alternate Date and/or Pavilion requested
16. Park Guidelines and Rules
    1. No alcohol allowed in park
    2. No grills allowed under Pavilion
    3. No music after 9:00 PM
    4. Calendar is posted, but not guaranteed
    5. Be sure to clean up you area when done
17. I have read and agree to Park guidelines and rules*

    1. I agree
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit Submit and Print

* indicates a required field