palatine park

Shelter Rental Request Form

Shelter Request Form

"*" indicates required fields

Shelter Request Information

Select a Permitted Shelter*
MM slash DD slash YYYY
MM slash DD slash YYYY
Start Time*
:
End Time*
:
Please describe facility rental use and any equipment you may need. Examples include tables, chairs, A/V equipment, or electrical.
Will there be an outside vendor providing food or equipment?
Please Note: A Certificate of Liability is required for all outside vendors.

Personal Information

Applicant Name*
Date of Birth*
Required for Household Set Up
If Applicable
Address*
Terms & Conditions*