REQUEST TO RESERVE A FACILITY

This form is a request only. The Park Office will call you with pricing and availability of the facility you are requesting. THIS DOES NOT MEAN YOU HAVE RESERVED A FACILITY. If you have any questions or concerns please contact the park office 573-624-8244

NAME NAME First Last
PHONE PHONE - ### - ### ####
ADDITIONAL PHONE ADDITIONAL PHONE - ### - ### ####
ADDRESS ADDRESS
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
EMAIL ADDRESS
Date you would like reservation: Date you would like reservation: / MM / DD YYYY

Pool Parties available ONLY during the open season:
Fridays 6:00-7:30pm
Saturdays 6:00-7:30pm
Sundays 6:00-7:30pm
FACILITY YOU WISH TO RESERVE

FACILITY YOU WISH TO RESERVE PARK SHELTER GYMNASIUM DEXTER AQUATIC CENTER
SHELTER OPTIONS

SHELTER OPTIONS EAST PARK SHELTER #1 (BY PLAYSCAPE) EAST PARK SHELTER #2 (BY AQUATIC CENTER) WEST PARK SHELTER #1 (BY BASKETBALL COURT) WEST PARK SHELTER #2 BOON PARK SHELTER #1 (BY TENNIS COURT) BOON PARK SHELTER #2 (BY BASKETBALL COURT)
GYMNASIUM OPTIONS

GYMNASIUM OPTIONS DPR GYM (BY PARK OFFICE-NO BIRTHDAY PARTIES) OLD GYM (PARK LANE)
OTHER OPTIONS

OTHER OPTIONS DEXTER AQUATIC CENTER (OUTDOOR FACILITY, ONLY AVAILABLE WHILE FACILITY IS OPEN FOR THE SEASON)
Reason for Reservation (Please be specific)
(Party, Reunion, Reception, Baby/Bridal Shower, etc)
Time of Gathering (Beginning to End)

Shelter Reservations available anytime.

Pool Parties available ONLY during the open season:
Fridays 6:00-7:30pm
Saturdays 6:00-7:30pm
Sundays 6:00-7:30pm
SHELTERS ONLY:
(Select all that apply)

SHELTERS ONLY:
(Select all that apply) Park access (required for vehicles, trailers, tents, bouncers, etc.) Alcohol Permit
I UNDERSTAND BY RENTING A FACILITY, THE FOLLOWING MAY BE CHARGED IN THE EVENT CIRCUMSTANCES APPLY:

I UNDERSTAND BY RENTING A FACILITY, THE FOLLOWING MAY BE CHARGED IN THE EVENT CIRCUMSTANCES APPLY: SHELTERS - PARK ACCESS DEPOSIT $50 if a key is required for park access permit. Deposit will be returned if key is returned within two business days and there is no facility damage. - USER FEE $25 if a fee is collected for any service rendered that is conducted on the property. - CONCESSION FEE $25 if selling concessions at any event. - CUSTODIAL FEE $50 if needed for restroom maintenance. - JANITORIAL FEE $75 minimum if clean up is required after rental for decoration or trash removal. Gym rentals require a contract signature. Must be signed by the Reserving Party in the park office with the presentation of a valid drivers license. Contract includes facility Policies and Regulations. Reserving Party must be at least 21 years old. Dexter Aquatic Center rentals require a contract signature. Must be signed by Reserving Party in the park office with the pesentation of a valid drivers license. Contract includes facility Policies and Regulations. Reserving Party must be at least 21 years old.
You will receive an email confirmation stating DPR received your request. If you do not receive confirmation of the request please contact the park office at 573-624-8244. THIS IS ONLY A REQUEST. The park office will contact you with pricing and availability. Facilities are available on a first come, first serve basis. *** PAYMENT MUST BE MADE IN FULL WITHIN 7 DAYS OF RESERVATION.***
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Full Name

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