Pavilion or Shelter Reservation Form
Dexter Parks and Recreation
Shelter Reservation Form
APPLICATION TO RESERVE PARK SHELTER HOUSE-DEXTER PARKS
Shelter to be Reserved: East Park #1 West Park #1 Boon Park #1
East Park #2 West Park #2 Boon Park #2
Date to be reserved: _______________________________________________________
Time of Gathering: _______________ until ______________ Number of guests: ______
Will Beer or Wine coolers be consumed at this gathering? Y N (circle one)
Hauling anything into the park? Y N (circle one) Specify: ____________________
Name of Reserving Party: __________________________________________________
Address: _______________________________________ Phone: __________________
Complete this form, attach check or money order for $10.00 and mail to:
Dexter Parks and Recreation
Shelter Reservation
1302 Hwy 114 East
Dexter, MO 63841
If the reservation is approved, three copies will be made of this form. The original will be kept in the Park Office. One copy will be marked "approved", dated, and signed by the Park Superintendent, and returned to the applicant, along with a receipt for the reservation fee. The third copy will be sent to the Dexter Police Department. The reserving party shall bring the returned copy to the shelter on the date reserved to confirm the right to the use of said shelter.
In the event a reservation is not approved, the application feel will be promptly returned.
RESERVATION APPROVED: ________ ALCOHOLIC BEVERAGE PERMIT: ___________
GRASS PERMIT: _______________**PER ORDINANCE #3530 ALCOHOL ORDINANCE: No person who shall drink beer and/or wine coolers while attending a meeting or function at which the Park and Recreation Board has authorized beer and/or wine coolers shall be deemed in violation of this Section.
**PER ORDINANCE #29-310 NO PARKING ON GRASS: No person shall operate or park a motor vehicle upon any area in any city park upon which there is grass without the permission of the Park and Recreation Board.
**PER ORDINANCE #29-340 HOURS OF OPERATION: The City parks shall be open to the public only from sunrise to 10:00 PM, and no person shall be within any city park between the hour of 10:00 PM and sunrise the following day, without the permission of the Park and Recreation Board.
X______________________________________ X_________________________________
Reservation Approved Date Signature of Renter Date