ACLT's Natural Play Space Reservation Form

ACLT's Natural Play Space Reservation Form

ACLT Members Only

Natural Play Space Amenities:

Play area includes sandbox, tire obstacle course, canoe, educational games, etc.
Covered shelter
4 picnic tables
Fire ring & bench (must supply your own firewood)
Partial Shade
Level grass field/play area

Note: There is no grill available. You may bring your own gas grill if you wish (no charcoal grills permitted).

NOTE: The ability to reserve the Natural Play Space is for members only. Click here if you wish to join/renew and then return to this form afterward.
Are you an active ACLT member?*

YesNoNot sure
If you are uncertain as to the status of your membership, please call (410) 474-1324 or email: miriam@acltweb.org and we will check our records.
PLAY SPACE RULES
- Please be aware of potential hazards (poison ivy, snakes, etc.) Check the area before setting up for your event.
- Remember to bring insect repellant.
- Pack It In/Pack It Out! Bring your own trash bag and take it with you when you leave.
- Please leave the space as you found it!
- If you use the fire pit, please call staff when you leave so that someone can check it. Phone: (410) 474-1324.
EVENT DETAILS
Date of Your Event*

MonthDayYear
Date
Hours of Use for Your Event:*
Example: All day or 9 a.m.-1 p.m., 12 noon-4 p.m., etc.
Alternative Date (Optional) (if space is unavailable)

MonthDayYear
Date
Purpose of Your Event:*
Example: Birthday Party, Cook-out, Meeting, etc.
Name of Organization/Club (if applicable):
Do you intend to use the fire pit? (Note: Please bring your own firewood and water to extinguish the fire before departing and call (410) 474-1324 when you leave so that staff can check on it later.)*

YesNoNot sure.
CONTACT INFORMATION
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
ACLT'S WAIVER OF LIABILITY
FOR USE OF THE NATURAL PLAY SPACE

Click here to read the Waiver of Liability prior to submitting this form.
Waiver of Liability*

I hereby confirm that I have read and hereby consent to the terms and conditions of ACLT's "Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement for use of ACLT's Natural Play Space" and agree to abide by the rules as stated above.
Once you submit this form, staff will confirm the availability of the space and your membership status and email a confirmation to you.
Should be Empty: