Park Pavilion Resident Reservation Form

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403 Nixon Drive Rollingwood, Texas 78746 (512) 327-1838 Fax (512) 327-1869 Park Pavilion Resident Reservation Form The Rollingwood Park pavilion is located on Nixon Drive between City Hall and the playscapes. There is a limit of four events per week. The pavilion may be reserved for groups not to exceed 25 children as follows: Residents Only May reserve the pavilion up to 90 days in advance With a deposit of $100 For the time slot of either 10am-1pm OR 2pm-5pm Please complete this form and return it along with the applicable deposit to City Hall, Monday Friday between 8am and 5pm. Checks only: payable to the City of Rollingwood. Please follow our park rules to ensure everyone s safety and the continued beauty and maintenance of the park. Reservations are not confirmed until you receive the written confirmation page from a City representative. In the event of inclement weather, as defined by the City Secretary, all of the resident deposit will be returned. Rollingwood Resident: Resident Address: Rollingwood, TX 78746 Phone Number: Home Cell Event: Number of Participants: Event Date: Time: 10am-1pm OR 2pm-5pm

I have read the attached City of Rollingwood s Park Rules and Regulations and understand them. I understand that I am responsible for leaving the pavilion in the same condition as upon my arrival and that I shall forfeit a portion of my deposit if the pavilion is not clean. I understand that other areas of the park may be in use by others. The person or organization reserving the facility shall be responsible for the conduct and behavior of the group using the facility as well as enforcement of Rollingwood Pavilion policies and regulations during the period of the reservation. Signature of Resident Date - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - CITY USE ONLY Deposit Received and Reservation Issued Deposit Returned and/or Donation to Rollingwood Park Fund Notes/Comments Authorized Signature

Pavilion Rules & Regulations All park regulations apply to pavilion usage. In addition, please adhere to these pavilionspecific rules for the continued enjoyment of the pavilion by others: ALL EVENT GUESTS AND PARK USERS ARE REQUIRED TO PARK IN THE UPPER PARKING LOT LOCATED SOUTH OF CITY HALL AT THE CORNER OF GENTRY AND NIXON. PLEASE MAKE SURE YOUR GUESTS ARE AWARE OF THE PARKING LOCATION. There are both trails and a sidewalk that lead from the parking lot to the park. Restroom facilities are located in the 1) Doyle Moore Field House, which is up the limestone stairway from the playscape and pavilion, or 2) Restroom, inside City Hall. There is a limit of four pavilion reservations per week. Organized events are limited to 25 children, except by special permit properly issued by the City. All areas of Rollingwood Park are designated as non-smoking. Please bring your own trash bags for party trash and dispose in the trashcans provided. Recycle bins are also available for empty recyclable items. Decorations may be tied to the pavilion structure; however, no tape, glue, nails, or other methods of attachment may be used. Sound amplification equipment is prohibited except by special permit properly issued by the City. Park hours are dawn to dusk. Event and clean-up must be completed by dusk. No glass containers or alcoholic beverages are permitted. Skateboards, scooters and bicycles are prohibited in the pavilion. The pavilion and playscape areas are pet-free, no dogs or other pets allowed. There are electrical outlets at the pavilion. The fans may be utilized by turning the 60- minute timers associated with each set of fans. There are no light switches available for public use. A water fountain is available in the playscape area and near the restrooms in the Doyle Moore Field House. Rental of the pavilion does not guarantee exclusive use of the park. No moonwalks/jumpy houses or water slides allowed in the park. Barbecue grills or pits, snow cone stands and temporary food vendors are prohibited at the pavilion and in the park, except by special permit issued by the City. Residents may not reserve the pavilion on behalf of non-residents.

At the end of the event, take a photograph of the cleaned pavilion and send it to the Receptionist at reception@cityofrollingwood.com or to the City Secretary at cityadmin@cityofrollingwood.com within 3 days. At that time the City Secretary will determine if the pavilion has been properly cleaned and left in order and then your deposit will be returned to you by U.S. mail. NEITHER THE CITY OF ROLLINGWOOD, NOR ANY OF ITS OFFICERS, AGENCIES, OR EMPLOYEES, WILL BE RESPONSIBLE FOR INJURIES, LOSS OF, OR DAMAGE TO PERSONAL PROPERTY OCCURRING AS A RESULT OF YOUR ACTIVITY ON CITY PROPERTY. Violation of any segment of this policy and/or City Ordinances will be just cause for the denial of future reservation of park facilities and the forfeiture of any deposit made. Rowdy behavior or disturbances to residential neighborhoods adjacent to the park facility will be just cause for immediate cancellation of the activity by the Rollingwood Police Department, and forfeiture of the deposit made. I have read the Rules and Regulations for the Rollingwood Pavilion. I understand that following a violation of any of these Rules, my event is subject to immediate termination and I will forfeit my deposit. Resident Signature Date

Playscape Rules & Regulations Restrooms are located in the Doyle Moore Field House and inside City Hall. No smoking is permitted anywhere within the park grounds. Park and Playscape hours are dawn to dusk. The Playscape is a designated pet-free area, no dogs or other pets allowed. The use of bicycles within the Playscape area is prohibited. Climbing on the rock wall is prohibited. Please utilize stairs to go between the lower and upper park areas and the restrooms in the Field House. Organized events at the Playscape are limited to 25 children, unless a special permit has been issued by the City. Adults should accompany children when coming to, utilizing or leaving the playscape area and restrooms. Children under the age of seven (7) years using the park shall be accompanied by a supervisor over the age of fourteen (14) years at all times. All groups must meet adult-to-child ratio of one to six for supervision. NEITHER THE CITY OF ROLLINGWOOD, NOR ANY OF ITS OFFICERS, AGENCIES, OR EMPLOYEES, WILL BE RESPONSIBLE FOR INJURIES, LOSS OF, OR DAMAGE TO PERSONAL PROPERTY OCCURRING AS A RESULT OF YOUR ACTIVITY ON CITY PROPERTY.

403 Nixon Drive Rollingwood, Texas 78746 (512) 327-1838 Fax (512) 327-1869 Rollingwood Pavilion Resident Reservation Confirmation Resident Name: Date: Street: Rollingwood, Texas 78746 This reservation form must be on the premises during the time of the confirmed event at the Pavilion. Your deposit of $100 has been received for the Rollingwood Pavilion and your reservation is confirmed for: Event Date: Time: 10am 1pm OR 2pm 5pm Your deposit will be refunded in full if the pavilion is found to be in its original condition, including removal of all decorations. If the deposit does not cover any damage sustained to the pavilion and/or the pavilion tables while in your use, you will be billed for the balance. There will be a $20.00 service charge for all returned checks. In consideration of others, please notify the City in writing as soon as possible to cancel a reservation. Reservations canceled within two weeks of event date will forfeit the deposit paid. In the event of inclement weather, as defined by the City Secretary, all of the resident fee paid may be returned. Please follow our park rules to ensure everyone s safety and the continued beauty and maintenance of the park. Donations to the Rollingwood Park Fund are always appreciated. You may designate any of your refunded deposit as a donation by notifying the City at the time of your reservation or at the conclusion of your event. Thank you for protecting and preserving this facility.