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Alum Springs Park Rental Form

3. Alum Spring Park
   <center>Greenbrier Drive</center> <center>Fredericksburg, VA 22401</center> <center>PHONE: (540) 372-1086 </center>

   Greenbrier Drive Fredericksburg, VA 22401 PHONE: (540) 372-1086

5. Seasonal Hours of Operation:
   OPEN YEAR ROUND DAWN TO DUSK

   OPEN YEAR ROUND DAWN TO DUSK

7. Alum Spring Park Rental Rates:
   Current Rental Rates

9. Payment must be made at the same time as the reservation.
   Payment Form

11. Date of Event*
    Date of Event

12. Day of the Week

13. 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

15. Associated with a Special Event

    1. Yes
    2. No

16. If so, which one?

18. Event Title*

19. Estimated Attendance*

21. 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.

23. Lessee's Name*

24. Phone*

26. Lessee's Address*

28. City*

29. State*

30. Zip*

32. Email Address*

34. Contact Person

35. Contact Phone

37. Person Responsible for Clean Up*

38. Phone*

40. Send Refund To (if different from above)

42. Address

44. City

45. State

46. Zip

48. Will you be using electricity at the park?

    1. Yes
    2. No

49. Will you be needing water at the park?

    1. Yes
    2. No

51. 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.

53. in consideration for the use Alum Spring Park, Greenbrier Drive, Fredericksburg, VA for myself and all my legal representatives 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.

55. Review Alum Park Rental Policies, Rules and Regulations
    General Park Rental Policies

57. By my signature below, I certify that I have received a copy of, read, and fully understand my rental contract, the general rental policies for Alum Spring Park, and the prescribed responsibilities for Alum Spring 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 park 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.

59. Lessee Signature: I understand that checking the box below is the equivalent of signing my name.*

    1. I Accept:

61. Lessee Name*

62. Date*
    Date

64. Full payment must be received within 5 business days to complete reservation upon approval with Parks and Recreation*

    1. I Accept

Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit Submit and Print

* indicates a required field