City of Waukesha Parks, Recreation and Forestry Department
1900 Aviation Drive ? Waukesha WI 53188 ? Phone: (262) 524-3737 ? Fax: (262) 524-3713
www.ci.waukesha.wi.us
BUILDING, PARK SHELTER & SPECIAL AREA
RENTAL APPLICATION
Persons must be at least 18 years of age to rent facilities and 21 years of age to obtain alcohol permit.
General Information (print with Blue or Black Ink)
Name of Responsible Party
Date of Birth
Organization (if any)
Tax Exempt number (attach proof)
Address
City
State
Zip
Email
Fax
Day Phone
Evening Phone
Cell
Name of Alternate Contact
Phone
Building Rentals (Check one)
? Rotary
? EB Shurts ? Schuetze Recreation Center – Room(s) Requested
Will WPRF be cleaning the building?
Yes
No
(Optional for rentals 5 hrs or less)
Park Shelter & Special Areas (check one)
? Park Shelter
? Formal Gardens
? Band Shell ? Amphitheater
(name of park)
Start Time (Include set -up time)
End Time (include clean-up time)
Purpose Of Event
Estimated Attendance
Date(s) of event
? Will there be sales of any kind?
Yes
No
If yes, see policies & procedures
? Will tents/temp. structures be used?
Yes
No
If yes, see policies & procedures
? Will inflatable’s be used?
Yes
No
If yes, see policies & procedures
? I have received copies of all WPRF policies applicable to my rental(s), including a schedule of Park Facility
Fees & Charges, and shall comply with all requirements they contain. I shall exercise the utmost care in the
use of the facilities and will make good any damage from my use or my guests’ use of the premises.
Signature
Date
(of responsible party)
? I will be providing alcohol beverages during the event and will comply with the alcohol agreement in the