2. Joplin Parks & Recreation Donation Request

   *asterisk indicates a required field

4. Hosting Business/Organization*
6. Contact Person First Name*
7. Contact Person Last Name*
9. Mailing Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address*
18. Event Date*
    Event Date
20. Event Name*
22. Event Location*
24. Event Description (please be specific):*
26. Items to be used for (silent auction, raffle prizes, etc.):
28. Items Requested*

    1. Schifferdecker Golf Course Round Certificate
    2. Schifferdecker Golf Course Simulator Certificate
    3. Summer Pool Pass Certificate
    4. Pool One-Day Passes
    5. Joplin History & Museum One-Day Passes

    Please select which type of donation your would prefer. 

30. File Upload*

    Please attach letter regarding event on business/organization letterhead.

32. Due to the number of donation requests received, a submitted form does not guarantee a donation. We will contact you if we are able to fill your donation request.

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field