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2. Contact Name*
   Contact Person is responsible for relaying all information to the group, including the TERMS AND CONDITIONS and SHELTER GUIDELINES per the permit, as well as returning the PICNIC KIT (if requested).
3. Contact Person for the Day of the Reservation*
   This person will be the onsite contact person the day of the reservation who will ensure that all of the TERMS AND CONDITIONS, SHELTER GUIDELINES and PARK RULES per the permit are followed.
5. Name of Group
7. Are you a City of Vandalia Resident?*

   1. Yes
   2. No

   (Please note - Butler Township Residents are not City of Vandalia residents.)

9. Picnic Shelter and Gazebo Reservations are only available to City of Vandalia Residents. Please STOP and do not submit a request.*
   -- Select One --Please STOP and do not submit a request.
11. Address*
13. City*
14. State*
15. Zip Code*
17. Primary Phone Number*
18. Alternate Phone Number
20. Email*
22. 1st Choice Date of Event*
    1st Choice Date of Event
24. 2nd Choice Date of Event*
    2nd Choice Date of Event
26. Requested Time of Event*
    Requested Time of Event
28. Purpose of Shelter or Gazebo Rental*
30. Special Requests
32. Picnic Shelter/Gazebo Rental Requested*

    1. Helke Park - Shelter 1 - Seats 80, 2 charcoal grills, electric, and bathroom facilities. This shelter is closest to the playground.
    2. Helke Park - Shelter 2 - Seats 60, 1 charcoal grill, electric, and bathroom facilities.
    3. Seger Park Gazebo - Has electricity, but no bathroom facilities.
34. Will you require a Picnic Kit?

    1. Yes
    2. No

    A Picnic Kit includes a Volleyball, Horseshoes, and a Shuffleboard Set.  You will receive a Picnic Kit Form to be filed out and returned to the Parks and Rec Maintenance Department. Equipment must be picked up and returned to the Parks and Rec Maintenance Building.

36. Shelter and Gazebo Form/Guidelines/Terms and Conditions
    Shelter and Gazebo Form/Guidelines/Terms and Conditions (PDF)
38. City of Vandalia Park Rules
    City of Vandalia Park Rules (PDF)
40. Electronic Signature*

    By signing your name here, you acknowledge that you have read and fully understand the SHELTER AND GAZEBO FORM/GUIDELINES/TERMS AND CONDITIONS (PDF) AND CITY OF VANDALIA PARK RULES (PDF). Completion of this application does not guarantee requested date/time.

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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field