2. Please complete this online form to submit your Park Shelter Rental Application.
4. Event Information
6. Date Requested
   Date Requested Start Date

   —

   Date Requested End Date
7. Number of People Expected
9. Time(s) Requested
   Time(s) Requested Start Time

   —

   Time(s) Requested End Time
10. Type of Event
12. Please check the requested shelter / gazebo:

    1. Centennial ($30)
    2. Hagelin ($30)

    1. Salnave ($40)
    2. Sutton ($30)

    1. Veteran’s ($30)
    2. Sutton Gazebo ($40)

    1. Sutton Gazebo ($150) - Wedding Ceremony
14. Contact Information for Individual Responsible
16. First Name*
17. Last Name*
19. Name of Business / Group / Association
20. Phone Number*
22. Address*
24. City*
25. State*
26. Zip*
28. Electronic Signature Agreement*

    1. I agree.

    By checking the "I agree" box, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
30. Applicant's Signature
31. Date
    Date
33. Table & Chair Use?

    1. Table & Chair Use: Tables $8 / each and chairs $1 / each
39. Office Use Only
41. Date Paid
    Date Paid
43. After Event Report
51. Approved JAN 2017 by order of the Cheney Park Board of Commissioners
Leave This Blank:


53. Submit Submit and Print

* indicates a required field