WFB_Form_Park_Facility_Use_Permit

City of Ionia

Park Facility Use Permit Application

Reservation Information

Requested Park Facility

Requested Date

required

Purpose of Event

Start Time

End Time

Expected Attendance

Contact Information

Contact Name

Organization Name

Address

City

State

Zip Code

Contact Phone

Email Address

required

Emergency Contact

Park / Facility Fees

Do You Reside in the City of Ionia Limits?

Yes No

Select a Fee Option for City of Ionia Residents

Select a Fee Option for Non-Residents of the City of Ionia

Waiver of Liability

In consideration of the furtherance of your purposes, objectives and work and in consideration of your permitting me, my child, ward or heir to participate in any program (s) or event (s) pertaining to the City of Ionia, Department of Parks and Recreation or the Ionia School District., I the undersigned, or if under 18 my parent or guardian, INTEND TO BE LEGALLY BOUNDED HEREBY WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES WHETHER BASED UPON NEGLIGENCE OR ANY OTHER THEORY OF LAW, which I, my child, ward, or heir and our parents, guardians, heirs, executors, representatives, administrators, and assigns may have against The City of Ionia, department of Parks and Recreation, the Ionia School District., any affiliates or subsidiaries, officers, directors, shareholders, agents, employees associated with said corporations and associations, the municipalities or counties in or through which the programs or events take place or are conducted, as well as any other person, entity or sponsor connected with such programs or events, and their heirs, executors, representatives, administrators, successors, assigns, affiliates, officers, subsidiaries, directors, shareholders, employees or agents, FOR ANY AND ALL INJURIES INCLUDING DISABILITATING INJURY AND / OR DEATH OR DAMAGES WHICH I, MY CHILD, WARD OR HEIR MAY SUFFER while taking part in such programs or events as a result thereof.

Do You Agree to the Waiver of Liability?

Yes No

Must Check Yes to Submit

Program Registration Online Payment

By submitting this form you are agreeing to pay the park/facility fee online. If you do not have a receipt of payment, your reservation will not be processed.

Do You Agree to Pay Online?

Yes No

Must Check Yes to Submit

You have completed the Program Registration Form. Please click the SUBMIT button below. You will be directed to the online payment screen.