13770 SE Ridgecrest Road Happy Valley, OR 97086
RESERVATION APPLICATION
Make Reservation Inquiries at Happy Valley City Hall ° 16000 SE Misty Drive ° Happy Valley, Oregon 97086
OFFICE (503) 783-3800 FAX (503) 658-5174 www.happyvalleyor.gov
Name of Applicant / Responsible Party _____________________________________________________________
Mailing Address City_____________________________ _____________ State _______________ Zip __________
Telephone # ____________________________ E-mail Address ______________________________________
RESERVATION for:
"A"
“B”
"C"
GAZEBO RESERVATION DATE____________________________
TYPE OF EVENT ______________________________________________ Special Event Permit Needed Yes
No
*
Groups over 100 people and certain activities, events or additional equipment such as inflatables, animals may require a
"Special Event" Permit. You may be required to provide liability insurance and additional fees may apply.
NUMBER OF PEOPLE ___________________ (including children) START TIME_____________END TIME_______________ (4 HR BLOCKS)
FEE SCHEDULE: Combined total of Application Fee, Reservation Fee and User Fees.
1. Application Fee (non-refundable) $22.00
2.
Reservation Fee (4 hr block) *In-City $30.00 Out of City $60.00
add _______________
3. User Fees (4 hr block) Number of People *
In-City Out of City
01 20 $22.00 $44.00
21 40 $33.00 $66.00
4160 $55.00 $110.00
6180 $66.00 $132.00
81 100
(*over /see above) $88.00 $176.00 add _______________
TOTAL RESERVATION FEE _________________
4. USE OF BASEBALL FIELDS, VOLLEYBALL COURTS & HORSESHOE PIT
(No Fees / No Equipment Supplied 2 hour sessions as available)
BB #1 BB #2 BB #3 VB Horseshoe Time Requested: ________ to _________
PARK RESERVATIONS POLICIES AND PROCEDURES
DATE CHANGE REQUEST: Date changes impose a $20 fee per event. __________
(Applicant to initial)
PROHIBITED: No alcohol or tobacco allowed at Happy Valley Park. ___________
(Applicant to initial)
ALL TRASH (INSIDE AND OUTSIDE) THE RESERVED AREA IS TO BE CLEANED UP AND REMOVED. Failure
to comply will result in a fine. _________ (Applicant to initial)
*CERTIFICATE OF LIABILITY: Insurance may be required for special events or if you are bringing additional
equipment, play structures, animals, etc. on the park property. _________
(Applicant to Initial)
CANCELLATION POLICY
: Application fee is non-refundable. All requests for cancellation and/or refund must
be submitted by original applicant IN WRITING. A full refund of user fees will be given if written request is
received at least 14 working days prior to scheduled event. If written request is received less than 14 days
prior to event, a 50% refund is given. NO REFUND is given if request is received less than 72 hours prior to
event and INCLEMENT WEATHER is NOT a refundable reason for cancellation. _________ (Applicant to initial)
*IN CITY FEES: Apply if your residence or group resides within the City limits of Happy Valley.
You can verify your status at www.happyvalleyor.gov click on (City Boundary Map) _________(Applicant to initial)
I h
ave read and agree to the policies and procedures of this park reservation:
APPLICANT SIGNATURE ______________________________________________________________________DATE________________________________________
For Office Use Only: Payment Method:
Date Received: Date Paid: Amount Paid:
Happy Valley City Park
Print
$ 22.00
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome