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2. Online Rental Form for Old Mill Park

   2201 Caroline Street, Fredericksburg, VA 22401 PHONE: (540) 372-1086
6. Old Mill Park is open year round, dawn to dusk.
   Old Mill Park Rental Rates:
   Current Rental Rates
8. Payment must be made at the same time as the reservation.
   Payment Form
10. Associated with a special event?

    1. Yes
    2. No
11. If so, which one?
13. Date of Event*
    Date of Event
14. Day of the Week
15. Time you will be at the park:*
    -- Select One --9:00 AM - 1:00 PM3:00 PM - 7:00 PM9:00 AM - 7:00 PM
17. Would you like to rent a shelter?*

    1. Yes

    1. No
18. Shelter you want to reserve:
    -- Select One --Shelter 1Shelter 2Pad 3 (no electric)
20. Is this a small Walk/Run Event utilizing the Heritage Trail/Canal Path?

    1. Yes

    1. No
22. Do you need to rent a gathering spot for start/finish area that's not a shelter?

    1. Yes

    1. No
24. Event Title*
25. Type of Event*
26. Is your event open to the public?*

    1. Yes
    2. No
28. Estimated Attendance*
29. Number of Cars*
31. Lessee's name*
32. Phone*
34. Lessee's Address*
36. City*
38. State*
39. Zip*
41. Contact Person*
42. Contact Phone*
44. Contact Email Address*
46. Person Responsible for Clean Up*
47. Phone*
49. Send Refund To (if different from above)
51. Address
53. City
54. State
55. Zip
57. Will you be using electricity at the park?

    1. Yes

    1. No
58. Need Water (non-drinkable)?

    1. Yes
    2. No
59. Special Requests
    Please let us know if you have any special request not mentioned on this form.
61. Equipment that you will be bringing into the facility:
    List any equipment that you will be bringing to the park. Please indicate if an item will be using electricity.
63. Renting Equipment from The City of Fredericksburg:
    Equipment Rental Form

    If you would like to rent equipment from The City of Fredericksburg, please fill out our equipment rental form.
65. Review Old Mill Park Policies, Rules and Regulations
    Old Mill Park General Policies
67. In consideration of the use of Old Mill Park, 2201 Caroline St., Fredericksburg, VA for myself and all my legal representatives, I do hereby agree and undertake to save and hold harmless, release and forever discharge the City of Fredericksburg, its officers, agents, employees and any and all other persons, firms and corporations, acting on behalf of the City from any and all actions, demands or claims for damages to persons or property, that may arise out of the use of said City property specified here, without regard to a negligent act or omission of the applicant, the City of Fredericksburg, or any other person, organization, firm, or corporation acting on behalf of the City.
69. By my signature below, I certify that I have received a copy of, read, and fully understand my rental contract, the General Policies for Old Mill Park, and the prescribed responsibilities for Old Mill Park lessees. I further understand that my failure to meet any of these responsibilities or comply with any policy may result in the immediate termination of the rental agreement by the on-site facility supervisor. I also agree that, if termination of the rental agreement is deemed necessary by the supervisor, I will ask that my guests exit the facility in a quick and orderly fashion and personally oversee the clean-up of the rental space. Finally, I understand and agree that, should early termination of my rental contract become necessary, I will receive no refund of rental fees and my deposit may be withheld.
71. Lessee Signature: I understand that checking the box below is the equivalent of signing my name.*

    1. I Accept:
73. Lessee Name*
74. Date*
    Date
76. Full payment must be received within 5 business days to complete reservation upon approval with Parks and Recreation*

    1. I Accept
Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit Submit and Print

* indicates a required field