Picnic Shelter Use Application

The applicant acknowledges receipt of the rules and regulations governing the use of all Town facilities and agrees that they will ensure compliance with them while they and their representatives are using Town facilities. The Town of Wallburg reserves the right to modify such rules as needed at any time. All applicants are to follow the instructions of the Town and its authorized representatives when utilizing Town facilities.

The applicant understands that they are responsible for all set up and clean up and that this time is included in the four hour rental time.

Applicant assumes responsibility for any and all claims, damage, accidents arising out of his or her use of the facility, and further agrees to indemnify and hold harmless the Town of Wallburg from any such actions and damages. The applicant understands and agrees that the Town of Wallburg is not responsible for accident, injury or lost or damaged property resulting from the use of occupancy of any Town-owned property.

Shelter rental rates are $35.00 per shelter per 4-hour time block.
(non-profit organizations can rent the shelters at 50% discount)

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Street Address *

City / State / Zip *

Telephone Number (cell preferred): *

Desired Reservation Date *

Which time blocks would you like to reserve? *

• 7:00AM – 11:00AM
• 8:00AM – Noon
• 9:00AM – 1:00PM
• 10:00AM – 2:00PM
• 11:00AM – 3:00PM
• Noon – 4:00PM
• 1:00PM – 5:00PM
• 2:00PM – 6:00PM
• 3:00PM – 7:00PM
• 4:00PM – PARK CLOSE

Type of Event *

Number of guests expected to attend: *

Shelters requested *

• Shelter #1
• Shelter #2
• Shelter #3
• Gazebo
• Ampitheater

I have read the Park Rules and Regulations (link to them above) and agree to abide by them. *

• Yes

Comments:

Name that will be used for payment transaction *

Submit