Facility to be
Rented:
Pavilion, EE
Robinson Park _______
Gazebo, Town
Green _______
Community Center _______
Date:
_______________________________ Day:
_____________________________
* Rental
Hours: From:______________________ To:_______________________________
*These
hours include all time required for set up, the event, take down & clean
up.
š Annual Event š
Fundraising š Private š Non-Profit
Purpose of Rental: ______________ Name you want on Pavilion sign:
_____________________
Responsible Person: _________________________
Contact Person: _____________________________
(Both must be at least 21 years of age)
Address:______________________________________________________________________________
City _______________________________ State
___________________________ Zip ______________
Phone # (H)______________________
(W)________________________(Other)____________________
GA Driver’s License
#:______________________ Total # of
People attending: _____________________
Describe in specific detail this event: (i.e.
cooking hotdogs on the grill, having a moonwalk and Deejay, etc)
Please check if you are using the following: Lights: š Electricity: š Grill: š Hose Hook-up: š
Water
Signature of Sugar Hill Staff Completing Form:
________________________________________________
Stipulations:
___________________________________________________________________________
Rental Cash Visa MC Check #____________ Total _________________
Name on
Check______________________________________________
Receipt # ___________________________________________________
770-945-6716
(i.e. Weather, family emergency & or
problems with rental)
IN CASE OF
EMERGENCY, CALL GWINNETT POLICE AT 911