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Park Facility Rental Application

  1. Applicant Contact Information

    (We must be able to reach the person listed during the scheduled event(s)

  2. If applicable

  3. Alternate Contact

    We must be able to reach the person listed during the scheduled event(s)

  4. Event Details

  5. Is the event open to the public?

  6. Do you plan to have an air filled jumper?

  7. Do you acknowledge the air-filled jumper guidelines?

    • Air-filled jumpers require prior approval by the city • can only be placed in areas designated by staff • must be secured with sandbags • must provide your own remote power • either you or the vendor of the equipment must provide proof of insurance that would cover any accidents related to the inflatable’s use.

  8. Include set up

  9. Include clean-up

  10. Use this box to list how many hours you would like to rent the facility for. If you are renting more than one facility list each facility name with the hours.

  11. Applicants Acknowledgement

  12. The lessee agrees that all activities undertaken by lessee or organization as part of the rental agreement, is at lessee or the organization's sole risk and that the City of Robinson shall not be liable for any claim, demands, injuries, damages, of whatever nature, incurred by the lessee, the organization, or lessee's property due to the negligence of the City, its agents, or employees, arising out of or connected with the activity related to this rental and that on behalf of lessee or the organization's lessee represent, expressly releases and discharges the City, its agents, or employees, from such claims, injuries, or damages. I also acknowledge that I have read and understand the "Park Facility Use Guide" and agree to adhere to all rules and regulations set forth and to all City Code. Failure to abide by the terms of the permit or any other applicable laws, rules, city ordinances or regulations may result in revocation of the permit, retention of all or a portion of the damage deposit, fines, civil liability, or criminal prosecution. City of Robinson personnel reserve the right to cancel scheduled use at any time prior to or during the event.

  13. Payment Information

  14. Select Payment from Below

    If you select Visa or Mastercard, you will need to call City Hall @ (254) 662-1415 to make a payment over the phone.

  15. Leave This Blank:

  16. This field is not part of the form submission.