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2. Important information! Please read!*

   1. I called to check availability and am ready to proceed.

   Reservations are subject to availability. Call Town Hall at 336-356-8962 to check availability before proceeding. The completed form and payment are required before the reservation is booked. Town staff will email a confirmation to the address provided once booked. Please do not submit the form until you are ready to book the reservation. Upon submittal of this application, you will be directed to the payment screen.
4. Pricing

   Shelter Reservations:

   Town Resident: $25

   Non-Resident: $35

   Full Day Town Resident: $70

   Full Day Non-Resident: $90

   
   

   
   

6. Date Requested*
   Date Requested
8. Residency: To qualify for In Town Residency rate, you must live in Dobson Town Limits. If you do not live in Dobson Town Limits, you are a non-resident. *

   1. Town Resident
   2. Non-Resident
10. Select Shelter*
    -- Select One --Simpson Insurance Shelter (#1) (8 Picnic Tables)Wayne Farms Shelter (#2) (6 Picnic Tables, Restrooms*)
12. Reservation Time*
    -- Select One --8:00am-11:30am12:00pm-3:30pm4:00pm-Close (Park is open until dark)Full Day
14. Electricity is available at both picnic shelters and the amphitheater.
    Facilities are rented on a first come, first serve basis.
    
16. Name*
17. Email Address*
19. Address*
21. City*
22. State*
23. Zip Code*
25. Phone Number*
26. Organization Name (if applicable)
28. Please read and check the box:*

    1. I understand that rentals are subject to availability and that my rental is not booked until I receive an email from Town staff confirming the reservation.
30. Rules and Regulations
    1. Renters must abide by all park rules and regulations.
    2. All fees are non-refundable. In the case of inclement weather and a cancellation is necessary, the renter has 2 business days from the date of the original reservation to contact Town staff to schedule an alternate date.
    3. You are reserving the shelter and/or amphitheater only, not the surrounding grounds.
    4. All trash mush be bagged and disposed of in receptacles provided. If trash cans will not be adequate for disposal, it is the renter's responsibility to remove and dispose of excess trash offsite. You are responsible for keeping the park clean by leaving facilities and surrounding grounds free of litter.
    5. Renters must wipe the tables clean and clean spills on the floors.
    6. Picnic tables are provided in the shelters, they may not be moved in or out of the shelter.
    7. Decorations may not be stapled, nailed, tacked, or pinned to any tree, park sign, or shelter (removable adhesive tabs are recommended). All decorations must be removed and disposed of properly.
32. I have read and agree to the terms listed above. I understand that if I violate any of the conditions I may not be eligible to rent a facility in the future at Dobson Square Park.
    
    Please type your name in the space provided.*
34. Date*
    Date
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field