Community Programming Request

Thank you for choosing Nathan Benderson Park as your program location site! Please note that the submission of this request does not guarantee approval. We will review your request and make a determination based on our policies and procedures.

Organization/Company Name*

Contact Name*

Address*

City*

State*

Zip*

Country*

Phone*

000-000-0000

Email*

Are you a non-profit organization?*

Yes

If yes, please upload a copy of your sales tax exempt form

Drag and drop files here or

What type of sport or activity will you be conducting?*

Description*

Is your program water or land based?*

Water

Land

What dates are you proposing for your program?*

What times are you proposing for your program?*

Approximate number of participants?*

Will you need to rent any launch boats?*

Yes

If yes, how many and what dates and times?

Will you need any venue rentals?*

Tents,tables, chairs, equipment, etc.

Yes

If yes, what will you need?

Do you have any other requests regarding your program?

Notes

How did you hear about us?*

Send me a copy of my responses

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