Application For Reservation Of
Park Building Or Facilities

____Entire 4-H Building          $50.00            ____Lone Chief Cabin   $40.00
____Small Dining Room & Kitchen  $30.00       ____Concession House   $20.00
____Large Room                   $30.00            ____Rock Kitchen       $20.00
____East Open Building           $10.00           ____Band Shell         $30.00
____Middle Open Building         $10.00          ____Other
____Shelter House                $30.00


Date of Activity : _____________________________

Approximate time you will be using the building? __________________________

Type of Activity : ________________  Admission Charged : __________________

Organization/Sponsor : ____________________________________________________

Person Responsible : ______________________________________________________

P.O. Box or Street : ______________________________________________________

City : ___________________________ State, Zip: ____________________________
Phone # : ________________________ Estimated Attendance : _________________
Will you want to use the rides other than during regular hours?____________
If so, What time? _________________________________________________________

Keys for the buildings may be picked up in the City Clerk's Office located at City Hall (phone: 620-332-2500) the day of or the day before the activity between the hours of 8:00 am and 5:00 pm on Monday through Friday (except holidays). In all cases, keys must be picked up by 5:00 pm on Friday for weekend events. If this is impossible, i.e., out-of-town rentals, the key may be picked up from the police dispatcher located in the lower level of City Hall if rental fees have been paid.
Signer accepts full responsibility for care of building and grounds including fee payment and $10.00 per hour per employee clean-up/set-up charge. Buildings should be left in the same condition as they are found. The rental is also responsible for any damages or breakage that occurs to the building during rental. In the event of cancellation the rental must give three (3) months notice to receive a refund for building rental.

Signature of Rental : _____________________________________________________