Type Full Name :
Sign With Hand
Organization Name
Date start
Final Dates Reservation Confirmation
2400 Olive Road
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Please Confirm your understanding of the below Rules and Regulations

YOU MUST BE 18 YEARS OF AGE OR OLDER TO RENT THIS FACILITY. PLEASE READ THE REGULATIONS AND STATEMENTS ON THE REVERSE SIDE OF THIS APPLICATION. YOUR SIGNATURE WILL BE REQUIRED.

Event Description
Alternate End Date
Email
State
Rain date start
Phone #
Last Name
NO ALCOHOLIC BEVERAGES are to be consumed and/or distributed.
Event Information
  • All rules and ordinances governing City of Trotwood Parks must be observed at all times, including driving and parking in designated areas. PARKING IS NOT PERMITTED ON ANY GRASS AREA, TRAIL OR SIDEWALK.
  • Reservation of this park does not guarantee cleanliness of the shelter or surrounding areas.
  • All decorations must be hung using masking tape and completely removed following the event. Absolutely NO STAPLES are to be used to secure table coverings or hang decorations.
  • Please leave charcoal ashes In the grill. Do not place them in the trash container.
  • AMPLIFIED SOUND is NOT permitted in the park. This includes boom boxes, car stereos, public address systems, musical instruments, bullhorns, disk jockeys, etc.
  • THIS RESERVATION IS ONLY VALID ON THE DATE INDICATED ON THIS APPLCIATION, AND ONLY FROM 8AM UNTIL PARK CLOSING.
  • The restroom key for John Wolfe Park must be returned on the first business day following the event in order to receive a refund of the $35.00 fee. Your refund will be processed electronically within 48 hours after key return.

I, the applicant, have read and understand the rules and regulations governing the use of the facility indicated herein and agree to abide by said rules, regulations and policies. I understand that I will be held completely and totally responsible for any and all damages that are incurred during the course of the rental and that the rental fee in no way limits my liability to the extent of damage. I also understand that 1 am responsible for the application of insurance proceeds, if any, to the repair or replacement of the premises or property thereon necessitated by any damages due to negligence, accidental or on purpose, and if not insured, I shall repair the demised premises or replace/repair property thereon solely at my expense.

Organization/Individual's Information
Rain Date End Validation
Expected # of Attendees
Rules and Regulations
City
No additional equipment, including tents, portable grills, games, etc., are allowed into the area without permission from the Public Works Department. ABSOLUTELY NO INFLATABLES OF ANY KIND ARE PERMITTED.
First Name
Date End Check
John Wolfe Park Restroom Key

The City of Trotwood does not assume liability for any injury or death, or loss of personal property to renter or any individual or group associated, employed, or in conjunction with renter on or about the premises, sidewalks, or alleys adjoining the premises for the following circumstances:

1) A loss of property by theft or burglary.

2) Accidental damage to person or property from the use of any utility on the premises.

3) Damage caused by action of the natural elements.

4) Damage or injury resulting from the conduct of the employees or guests of renter whether negligent or otherwise.

Renter shall not make any claims against the City of Trotwood for any loss or damage described herein. Renter shall also indemnify the City of Trotwood against all claims by any individual group, associate, employee, agent, or guest of renter. The City of Trotwood shall be liable for loss, damage or injury resulting from structural defect of the building on the demised premises if the structural defects are not caused by the negligence of the renter, and renter shall not be obligated to indemnify the City with respect hereto.

ZIP
Indemnification
Event Location
Reservations must be cancelled 30 days prior to the date of the event in order to receive a refund. Refunds will be processed electronically within 48 hours after key return.
Applicant Signature
Certification
Alternate Phone #
Address
Event End Date
Event Start Date
Fees
Attachments

*RESERVATIONS MUST BE CANCELLED 30 DAYS PRIOR TO EVENT IN ORDER TO RECEIVE A REFUND.

The restroom key for John Wolfe Park must be returned on the first business day following the event in order to receive a refund
of the $35.00 fee.

Your reservation will not be confirmed until your Application has been Approved and payment received.

Reservation of this park shelter does not guarantee availability of utilities or amenities (i.e., splash pad, electricity, water, etc.). There is a RESET BUTTON located on the electrical outlet at N. Broadway and John Wolfe Parks ONLY.
NO REFUNDS WILL BE ISSUED DUE TO INCLEMENT WEATHER, FOR NO-SHOWS OR FOR CANCELLATIONS LESS THAN 30 DAYS PRIOR TO THE EVENT
Alternate Start Date
Fee Due
Check End Date
Rain Date End Check
{[PNAME]}
Park Fee
John Wolfe Park (Splash Pad)

Restroom Key Refundable Fee (Optional)
$60

$35
N. Broadway Park $50
Madison Park #1 $40
Madison Park #2 $40
Madison Park #3 $40
Madison Park #4 $50