2. Name*
3. Email Address*
5. Address
7. City
8. State
9. Zip Code
11. Phone Number*
12. Alternate Phone Number
14. Type of Event *
15. Group / Business Name
17. Number of Guests*
19. Requested Date and Time*
    Requested Date and Time Start Date

    Requested Date and Time Start Time

    —

    Requested Date and Time End Date

    Requested Date and Time End Time
    Reservations can only be made within one of the following time blocks: 8am-12pm, 1pm-5pm, 6pm-9pm. Please include set-up and clean-up in your requested time.
21. Agree to Terms and Conditions*

    By checking the "I agree" box below, you agree to have read the reservation guidelines and agree to indemnify and hold harmless the City of Gig Harbor, its officers, agents, and employees, from and against all claims, losses or liability occurring during, or arising out of, occupancy and use of the Crescent Creek Park by the Representative and the User Group.

    1. I agree.
23. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature*
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field