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JCOS - General Use Park Permit Application
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This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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Step One
Disclaimer
Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.
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Step Two
Please consider the following prior to submitting this application:
We do not permit amplified sound, structures, decorations or athletic/party games.
Please read all of the park regulations before submitting this application.
In order to ensure sufficient time to process your permit, please submit this form no less than ten business days prior to your event and please allow up to ten business days for processing and response. Applications will not be reviewed outside of six (6) months in advance.
Issuance of a permit is based on time, location, and capacity limits of each park.
Company or Group Name
*
Company or Group Website
Name(s) of Park(s)
*
-- Select One --
All JCOS Parks
Alderfer/Three Sisters Park
Apex Park
Centennial Cone Park
Clear Creek Canyon Park
Coal Creek Canyon Park
Crown Hill Park
Deer Creek Canyon Park
Elk Meadow Park
Flying J Ranch Park
Hildebrand Ranch Park
Hiwan Heritage Park
Lair o' the Bear Park
Lookout Mountain Nature Center and Preserve
Matthews/Winters Park
Meyer Ranch Park
Mount Falcon Park
Mount Galbraith Park
North Table Mountain Park
Pine Valley Ranch Park
Reynolds Park
South Table Mountain Park
South Valley Park
Van Bibber Park
Welchester Tree Grant Park
White Ranch Park
Windy Saddle Park
Other
Specific Area Within Park Requested
Detailed Description of Onsite Activities
*
If requesting parks not listed above, please specify here.
Maximum Number of Participants
*
Maximum Number of Vehicles
*
Single-day or Annual
*
Single Day
Annual
Date Requested
Date Requested
If requesting a specific date
Time Requested
*
Time Requested Start Time
—
Time Requested End Time
First Name
*
Contact Info. of Event Organizer
Last Name
*
Address
*
Address Line 2
City
*
State
*
Zip Code
*
Country
*
Phone Number - Primary
*
Phone Number - Other
Email Address
*
Will your activity impact adjacent public right-of-way, private properties, or surrounding landowners or businesses?
*
-- Select One --
Yes
No
Will a fee be collected?
*
-- Select One --
Yes
No
If so, how much is the participant fee?
Type of Organization
*
-- Select One --
Non-profit
For Profit
Government
Other
Are you an insured government agency?
*
-- Select One --
Yes
No
Will activity be publicized on radio, TV, website, in newspapers or posted in public places?
*
-- Select One --
Yes
No
Attachment 1
Attachment 2
Attachment 3
Attachment 4
Attachment 5
Attachment 6
Signature of Applicant
*
I (we) hereby swear or affirm, under penalty of perjury, that the information given here is true and correct. The typed signature below indicates this individual, or the legal entity the individual represents (as applicable), accepts responsibility for the activity and agrees to the terms and conditions of this agreement.
Date
*
Date
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Step Three
Receive a Copy of Your Submission
By checking the box below, you will receive a copy of the application you are submitting; however, this does not mean that your application has been approved. We will contact you within 10 business days to let you know the status of your application.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
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