Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Preferred Date *

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

You must agree to the following. Check both boxes.

I Agree to clean up after my event and will remove all trash and decorations from the site when I am finished. I acknowledge that Maple Hills Park does not provide trash receptacles or removal services.

I will be completely extinguish, safely contain and remove all grill fuels, charcoal and flammables from the premises.