Form Center

2. 312 East Third Street

   Lampasas, TX 76550

   (512) 556-6831

3. APPLICATION FOR USE OF A CITY PARK FACILITY
4. 
8. CONTACT PERSON INFORMATION
10. Name*
12. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
22. EVENT INFORMATION
24. Type/Purpose of Event*
26. Location of Event*
    -- Select One --Campbell Park Pavilion580 Sports ComplexHancock Golf Course PavilionRuth Eakin Amphitheater
27. Estimated Number to Attend*
29. Date(s) of Event*
    Date(s) of Event Start Date

    —

    Date(s) of Event End Date
30. Time(s) of Event*
    Time(s) of Event Start Time

    —

    Time(s) of Event End Time
32. Will the be music played at the event?*
    -- Select One --YesNo
33. Will there be alcohol present at the event?*
    -- Select One --YesNo
37. INTERNAL AGENCY INFORMATION
39. Director of Parks & Recreation
40. Date
    Date
41. APPROVAL/DISAPPROVAL
    -- Select One --ApprovedDisapproved
43. Comments
45. City Manager
46. Date
    Date
47. APPROVAL/DISAPPROVAL
    -- Select One --ApprovedDisapproved
49. Comments
53. Deposit
54. Deposit Paid
    -- Select One --YesNo
55. Date Paid
    Date Paid
56. Date Deposit Refunded
    Date Deposit Refunded
58. DEPOSIT MUST BE PAID SEPARATELY BY CASH OR CHECK ONLY
60. Rental Fee
61. Rental Fee Paid
    -- Select One --YesNo
62. Date Paid
    Date Paid
66. Must Comply with City Ordinance(s) that pertain to the use of City park facilities.
68. E-Signature of Applicant*
69. Date*
    Date
71. APPLICANT REFEREED TO THE POLICE DEPARTMENT FOR PERMIT FOR POSSESSION AND CONSUMPTION OF ALCOHOLIC BEVERAGES IN A CITY PARK.
72. Date/Time
    Date/Time

    Date/Time
Leave This Blank:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit Submit and Print

* indicates a required field