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2. First Name*
3. Last Name*
5. Phone Number (work)*
6. Phone Number (cell)*
8. Email Address*
10. Employee use agreement*

    I certify that I, as the employee, will be onsite and responsible for the reservation. I am not reserving the site on behalf of any other individual or organization.

    1. Yes
    2. No
12. Please give a detailed description of what you plan to use the space for*
14. How many individuals will be onsite*
16. Date of pavilion request*
17. Is the date flexible?*

    1. Yes
    2. No
19. Time of pavilion request*

    Three hour block starting no earlier than 8:00 am, and ending no later than 10:00 pm

20. Is the timeframe flexible?*

    1. Yes
    2. No
22. First choice pavilion*

    1. Angel Park Pavilion
    2. Barnes Pavilion 1
    3. Barnes Pavilion 2
    4. Barnes Pavilion 3
    5. Barnes Pavilion 4
    6. Barnes Pavilion 5
    7. Gailey Park Pavilion 1
    8. Gailey Park Pavilion 2
    9. Heritage Park Pavilion
    10. Pioneer Park Pavilion
23. Second choice pavilion*

    1. Angel Park Pavilion
    2. Barnes Pavilion 1
    3. Barnes Pavilion 2
    4. Barnes Pavilion 3
    5. Barnes Pavilion 4
    6. Barnes Pavilion 5
    7. Gailey Park Pavilion 1
    8. Gailey Park Pavilion 2
    9. Heritage Park Pavilion
    10. Pioneer Park Pavilion
25. Park Rules - I have read and understand the following*

    • Kaysville City restricts the use of inflatable toys, dunking machines, and similar equipment.

    • Vehicles are not permitted on lawns or sidewalks within city parks.

    • Animals (including dogs and horses) are prohibited in all city parks, with the exception of Mountain Park.

    • Alcoholic beverages are prohibited in all city parks.

    • Please do not feed the waterfowl. Feeding wildlife causes malnutrition, dependency, disease, and water pollution.

    • Dispose of all trash in designated receptacles, or pack it out if receptacles are unavailable.

    • Please bring your receipt, as reservations may be booked online before staff can update posted schedules.

    1. Yes

    1. No
27. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
29. Electronic Signature
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field