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2004 PAVILION RENTAL APPLICATION
Today’s Date: _______________
Name of Park: ___________________________
Date of Event: ___________________ Type of Event: ______________________________
Starting Time:___________ Ending Time: ___________ # of People Expected:___________
Name of Organization or Group: _______________________________________________
Contact Person: ___________________________ Telephone: ( )__________________
Mailing Address: _________________________________________________________
_________________________________________________________
_________________________________________________________
Alternate Contact: __________________________ Telephone ( )__________________
City Resident: Yes _______ No _______
The applicant must present a driver’s license, voter registration card or utility bill in the applicant’s name. The Reservationist shall make a
photocopy and attach it to the application. The City reserves the right to verify the information presented, and if the information is
incorrect, the City reserves the right to cancel the reservation. Please be aware that it is unlawful for a nonresident individual or
organization to fraudulently apply for use of DPRCA facilities in the name of a City of Atlanta resident or through the use of a City of
Atlanta address. Violators may be subject to prosecution in accord with the code ordinances section 110 - 11 and subsequent sections.
Is electrical power needed? Yes ________ No ________
Will there be any cooking at the event?
Yes
No
If yes, what will be the fuel source?
Will there be any LP gas, flammable or combustible liquids used at
this event?
Yes
No
If yes, give the name, intended use and how much will be stored on the site:
CITY OF ATLANTA
Bureau of Parks
City Hall East, 8th Floor
675 Ponce de Leon Avenue NE
Atlanta, Georgia 3030