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5. First Name*
6. Last Name*
8. Phone Number*
   Please enter phone number in format shown.
9. Email Address*
11. Type of Inquiry

    1. Facility Rental
    2. Challenge Course Program
    3. Birthday Party
    4. Camping

    Please check the box that best matches what type of rental or program you are interested in at TimberRidge.
12. Date Requesting Rental*
    Date Requesting Rental
    Please fill in the date you are inquiring about
13. Second Choice of Date
    Second Choice of Date
14. Number of People in Group*
16. Additional Comments or Questions

    Add any additional information, range of possible dates, or questions you have here that will better help us respond to your inquiry.

18. Facilities

    1. Welcome Center
    2. Whispering Pine Shelter
    3. Full Site Rental
20. Challenge Course

    1. Low Challenge Course
    2. High Challenge Course
22. Birthday Parties

    1. Archery -ages 8 and up
    2. BB Guns -ages 8 and up
    3. Boating -ages 8 and up
    4. Fishing -ages 8 and up
    5. Climbing Tower - ages 12 and up
24. How did you hear about our rentals? *

    1. TimberRidge Website
    2. Johnson County Park and Recreation Website
    3. Friend or Family Referral
    4. Facebook - TImberRidge Page
    5. TimberRidge Flyers
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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