Stafford County Parks and Recreation Pavilion Use Application

Stafford County Parks and Recreation Pavilion Use Application

Submission of this application does not guarantee a booking. You will be contacted regarding payment and confirmation status. If payment is not received within 24 hours, your booking will be canceled. All requesters must be at least 18 years of age to submit/sign a Pavilion Use Application. To ensure fairness and consistency for all users, each organization must apply and qualify independently under the appropriate classification and fee schedule. Organizations may not sponsor or partner with another group for the purpose of altering classification status or associated fees. Please check park operation hours. Bookings outside of normal park hours may be subject to additional fees.
Main Contact*

First NameLast Name
Sponsored Organization- Please provide details belowN/A
Sponsored organization requesting use of facility
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Autumn Ridge (Capacity 25)Chichester Park Pavilion 1 (Capacity 150)Curtis Memorial Park Pavilion 6 (Capacity 115)Curtis Memorial Park Pavilion 7 (Capacity 175)Curtis Memorial Park Pavilion 8 (Capacity 15)Duff McDuff Green Park Pavilion 1 (Capacity 25)Duff McDuff Green Park Pavilion 2 (Capacity 25)Duff McDuff Green Park Pavilion 3 (Capacity 25)John Lee Pratt Memorial Park Pavilion 1 (Capacity 175)John Lee Pratt Memorial Park Pavilion 2 (Capacity 130)John Lee Pratt Memorial Park Celebration Stage (65)Patawomeck Park Pavilion 1 (Capacity 130)Smith Lake Park Pavilion 1 (Capacity 150)Smith Lake Park Pavilion 2 (Capacity 25)St. Clair Brooks Memorial Park Pavilion 1 (Capacity 75)Willowmere Park Pavilion 1 (Capacity 25)
Rental Date

MonthDayYear
Date
Type of Activity*
Will you attend?*
*If no, who will be in charge? Please provide contact information.
1-2021-5051-7576-100101+
*A Special Event is any event that meets one or more of the following criteria:
- Any event that is a parade, carnival, festival, block party (not for private or residential use), running, walking or bicycling event.
- Any event to be held at a County facility with a projected attendance of 1,000 or more.
- Any event that will require the use of County resources for security, crowd control, traffic control, fire or EMS.
- Any event that requires the closure of any street or public right of way to vehicular or pedestrian traffic.
- Any event requiring interagency coordination that may change or restrict the normal levels of public service provided in Stafford County
*Please note, some events such as private, residential block parties or park rentals, may not require the Special Event process; however, the event may still require a permit.
Signature

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Yes- Alcohol is prohibited at pools, gym/rec center and schools. Additional fee applies. Alcoholic beverages may only be served in designated areas with proper permits from the Alcoholic Beverage Control Board. https://bit.ly/VirginiaABCLicenseNo
Will there be Food Truck Vendors?*
If yes, how many food trucks will be onsite?*
Please list all Food Trucks that will be in attendance.*
Will there be inflatables and/or amusement devices?*
None1-33-5
NoYes
NoYes
Will you be decorating the reservation area?*
*If yes, please specify
Additional Comments
PLEASE NOTE: If your request for a park or facility meets one or more of the following criteria, you will be required to submit a Special Event Informational Packet. • Any event which is considered a parade, carnival, festival, block party (not for private or residential use), running, walking, or bicycling event • Any event which is held at a County facility with a projected attendance of 1000 or more • Any event which requires the use of County resources for security, crowd control, traffic control, fire, or EMS • Any event which requires closure of any street or public right-of-way to vehicular or pedestrian traffic • Any event which requires interagency coordination that may change or restrict the normal levels of public service provided in Stafford County.

Additional permits may be required even if your request does not meet one of these criteria.

I certify that I have read and will abide by current Stafford County Parks and Recreation Facility Use policies and procedures (if using PR facilities), the Stafford County Public Schools' Community Use Policy (if using school facilities), and the requirements for users as they pertain to this rental. I understand I will be held liable for any and all damages to County-owned property and for the prompt and proper settlement of claims for such damages and agree to pay applicable fees. Unless agreed upon in writing by the Director of Parks and Recreation, I will be responsible for cleanup and care of equipment and facilities used, including school facilities. Failure to do so will result in forfeiture of deposit, paying a penalty, and denial of future use.
WAIVER FOR PARTICIPANT: By signing this form, I desire, consent, and voluntarily choose to allow the individual(s) named herein to take part in all such activities. Knowing the material risks and appreciating, knowing, and reasonably anticipating that other injuries and death are possibilities, I assume all the risks normally incident to the nature of the activities and agree that neither the Stafford County Dept. of Parks and Recreation nor the County of Stafford, VA will be responsible for any damages or injuries resulting to me or my child.

Therefore, having read and understood this waiver and in consideration of your accepting my entry into a Stafford County recreation facility, program, or activity, I, for myself and my child, waive and release the County of Stafford, VA and its officers, staff, volunteers, sponsors, and representatives from all claims or liabilities of any kind arising out of my participation in (or as a spectator of) any program, activity, or use of any County facility.
Date Submitted*

MonthDayYear
Date
Signature*

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