2. Adopt-A-Park Application

   Please complete form and submit

4. Business/Organization Name:
6. Contact Person:*
7. Contact Person's Title:
9. Phone Number:*
10. Alternate Phone Number:
12. Mailing Address:*
14. City:*
15. State:*
16. Zip Code:*
18. Email Address*
22. Park Preference
24. Preferred Adoption Location:*
26. Second Choice Location:*
28. Third Choice Location:*
32. Adoption Method

    Please Specify which level of adoption you would prefer by checking the box(es) below:

34. Pick a Level*

    1. Level 1

    1. Level 2

    1. Level 3

36. Required: Litter removal at least twice a month, including raking through sand areas, if any, to find and remove hidden litter.

38. Project Description:*

    please be specific 

40. Work Schedule:*
41. Total Weekly Hours:*
43. Type of Donation:*
47. Term of Agreement

    I certify that I understand the Adopt-A-Park guidelines and that I possess the authority to execute this agreement on behalf of the organization. I understand this is an application for the Adopt-A-Park Program and the Parks and Recreation Department will contact me to finalize the agreement.

49. Print Name:*
50. Signature:*

    I agree and understand that by typing my name here, it is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field