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2. I'd like to request a reservation for*
   -- Select One --Bullard Kids ParkO.L. Ferrell Park
4. First Name:*
5. Last Name:*
7. Email Address:*
8. Phone Number: *
10. Physical Address:
    Please include your home address.
12. Address:*
14. City:*
15. State:*
16. Zip Code: *
18. Reservation Type:*
    -- Select One --Birthday Party ReunionOrganization EventEducational Event/Field TripOther
19. Event Date:*
    Event Date: Start Date

    Event Date: Start Time

    —

    Event Date: End Date

    Event Date: End Time
21. Estimated Attendance:*
    -- Select One --1-1010-2020-3030+
22. Number of Tables: *
23. City Services:

    1. Electricity
25. Please read the Park Rules and Regulations.
    Bullard Park Rules and Regulations
29. By checking the "I agree" box you are agreeing to the Bullard Park Rules and Regulations.*

    1. Yes, I agree to the rental terms.
31. Electronic Signature
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field