2. RESERVATION REQUESTS MUST BE MADE A MINIMUM OF SEVEN (7) DAYS IN ADVANCE
4. Contact Person*
5. Organization Name
7. Address*
8. City/Town*
10. Email Address*
12. Cell Phone*
13. Home or Work Phone
15. Park or Gym Requested*
    -- Select One --Bailey Road ParkLegion ParkRobbins ParkSmithville ParkTorrence Chapel ParkWestmoreland Athletic ComplexBailey Road Recreation CenterJV Washam Recreation Center

    Please complete a different form for different facilities
16. Sport or Activity Scheduled*
18. Specific Facility Requested (which field, shelter, court, etc.?)*
20. When?*
    When?
21. What time?*
    What time? Start Time

    —

    What time? End Time
    Please note there is a three (3) hour minimum for shelter rentals.
23. Additional day?
    Additional day?
24. Time on this day?
    Time on this day? Start Time

    —

    Time on this day? End Time
26. Additional day?
    Additional day?
27. Time on this day?
    Time on this day? Start Time

    —

    Time on this day? End Time
29. Additional day?
    Additional day?
30. Time on this day?
    Time on this day? Start Time

    —

    Time on this day? End Time
32. Additional day?
    Additional day?
33. Time on this day?
    Time on this day? Start Time

    —

    Time on this day? End Time
35. Expected Number in Group:
36. Adults*
37. Youth*
39. Is Your Request for a:

    1. Game

    1. Practice
40. Base Distance?
42. Regulations
    • Renter must be able to show permit upon request • Person in charge shall be responsible for conduct of group and any damages to property • Area is to be cleaned after use and trash put in appropriate receptacles • No alcoholic beverages or glass containers allowed. No tobacco use of any kind allowed on park property. • In the case of inclement weather, Cornelius PARC Department will reschedule the event for another time (based on availability). Refunds will not be given in the event of inclement weather. Reschedules MUST be made within three (3) months of the original reservation date. Weather Hotline is 704-896-2460 x290. • Cancellations must be made at least 7 days prior to event. The cost will be refunded minus a 10 percent administrative cost. No refunds will be given if cancellation is less than 7 days. • For field, gym and court rentals, this form must be accompanied by a signed Facility Use Agreement.
44. I have read and fully understand the regulations of this reservation*

    1. Yes
46. What Happens Next?
    Once your request has been reviewed by PARC staff, you will be contacted via email or phone. If your request can be granted, you will then have the option to mail in your payment, come by our office with payment, or pay with a credit/debit card over the phone. If you have any questions, please call our office at 704-892-6031 x 160.
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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field