Submit Request for Park Use

Requestor

Organization or Group Name

Contact Person accepting full responsibility for the event

Email

Phone

Contact Address

Contact City

Contact State

Contact Zip

Event Description

What is the purpose/theme of this event?

How many people are expected to attend the event?

Date of Event

Start Time

Stop Time

Will food be served? Yes No 

Do you intend to collect any money at the event? Yes No 

Do you plan to advertise for your event? Yes No 

If advertising, list advertising methods (email, flyers, newspaper, etc.)

Will you inform all attendees of the parking restrictions?Yes No 

Do you have a plan to remove all trash and dog feces immediately after the event? Yes No 

Do you agree to abide by the rules that do not allow the use of charcoal or gas grills, or other open flames in Crispus Attucks Park?  Yes No

Release of liability: You assume all risk for your event and you release CADC from any claim or cause of action arising out of your event. You agree not to sue CADC for any act or omission of CADC or for any condition, latent or otherwise, in Crispus Attucks Park. Yes No