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2. Today's Date and Time*
   Today's Date and Time

   Today's Date and Time
3. Park Pavilion/Picnic Sites Rental Intent Form
   Contact (314) 963-5600
5. This form is to be used to reserve the Webster Groves pavilions for the time(s) and date(s) requested. Please note that this form is not a rental contract. The rental confirmation and actual contract will be mailed to you according to the information provided on this form. The rental date and time cannot be entered into the reservation book until this Rental Intent Form is returned. Dates and times are taken on a first come - first served basis. Please call ahead prior to completing this form to inquire on availability.
7. PLEASE NOTE: PAVILION/PICNIC SITE RESERVATIONS CAN ONLY BE ACCEPTED FROM WEBSTER GROVES RESIDENTS. MUST SUBMIT FORM AT LEAST ONE WEEK PRIOR TO RESERVATION DATE.
9. Contact Person*
10. Address*
12. City*
13. State*
14. Zip*
16. Organization (if applicable)
18. E-mail*
20. Home Phone
21. Work Phone
22. Cell Phone
26. Rental Date Requested*
27. Start Time*
28. End Time*
29. Alcohol Permit*
    -- Select One --YesNo
31. Type of Reservation*
    Please be specific and describe the nature of the reservation.
33. For Blackburn Park: Will you need the sidewalk bollard removed?*
    -- Select One --YesNo
35. Please Check Requested Park Facility*

    1. Blackburn Large Pavilion - $155
    2. Blackburn Dogwood Pavilion - $55
    3. Blackburn Redbud Pavilion - $55
    4. Larson Pavilion - $155
    5. Gazebo - $55
    6. Blackburn Picnic Site - $30

    1. Southwest Picnic Site - $30
    2. Larson Fire Ring (not located next to pavilion. Must reserve Larson Pavilion in order to use adjacent fire ring) - $35
    3. Southwest Fire Ring - $35
    4. Lockwood Fire Ring - $35
    5. Margaret Atalanta Picnic Site- $35
    6. Deer Creek Fire Ring - $35

    1. Ivory Crokett Park Pavilion - $55
    2. Southwest Pavilion -$55
    3. Marshall Trail Head- $55
    4. Lorraine Davis- $55
    5. Glen Park- $55

    Please Note: Any changes made after your contract is written may result in a $25 change fee.

37. How many people will be attending? *
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field