TimberRidge Rental Facility Request Form

2. 

3. 

5. Organization Name*

   Please put N/A if it doesn't apply.

7. What kind of event are you having? *

9. First Name*

10. Last Name*

12. Address*

14. City*

15. State*

16. Zip Code*

18. Phone Number*

19. Email Address*

21. Year of Birth Date*

    Please provide the year you were born. We must verify you meet the age requirements for our rentals and permits.

22. Date Requesting Rental*
    Date Requesting Rental

    Please fill in the date you prefer for your rental.

23. Number of People in Group*

24. Last Name of Bride & Groom for Weddings

26. Facility Renting*

    1. Welcome Center (Occupancy of 80)
    2. Whispering Pine Shelter (Occupancy of 200)
    3. Full Site Rental - Welcome Center & Whispering Pine Shelter
    4. Campground - Only available September - April

27. Length of Rental at Welcome Center*

    All rentals need to be cleaned up and done by 10pm.

    1. Hourly Rate (minimum two hour rental required )
    2. 8-hr Rental (consecutive hours required)
    3. Full Day Rental (8am-10pm)
28. Rental Time*
    Rental Time Start Time

    —

    Rental Time End Time

29. Length of Rental at Whispering Pine Shelter*

    1. 1/2 day rental 8:00 am - 3:00 pm
    2. 1/2 day rental 3:00 pm -10:00 pm
    3. Full day rental 8:00 am - 10:00 pm

31. Do you want to add amenities to your rental?

    1. Yes
    2. No

32. How many people are you expecting to participate per hour?

    1. 1-20 people/hour
    2. 21 or more/hour

33. Amenities Wanting To Book for Event*

    1. Archery (ages 8 and up)
    2. BB Guns (ages 8 and up)
    3. Boating (Pedal Boats, Canoes, Kayaks)
    4. Climbing Tower (ages 12 and up - participants need a signed health and liability form)
    5. None

35. Archery Rental Time*
    Archery Rental Time Start Time

    —

    Archery Rental Time End Time

    All amenities are rented on an hourly basis.

36. BB Gun Rental Time*
    BB Gun Rental Time Start Time

    —

    BB Gun Rental Time End Time

    All amenities are rented on an hourly basis

37. Boating Rental Time*
    Boating Rental Time Start Time

    —

    Boating Rental Time End Time

    All amenities are rented on an hourly basis

38. Climbing Tower Rental Time*
    Climbing Tower Rental Time Start Time

    —

    Climbing Tower Rental Time End Time

40. How many boats are you wanting to rent?

    1. 5 boats
    2. 10 boats
    3. 15 boats
    4. 20 boats

41. What Type of Boats do you want?

    1. Pedal Boats (3-5 per boat, 7 available)
    2. Canoes (2 per boat, 10 available)
    3. Kayaks (1 per boat, 15 available)

42. Number of each type of boat you want.*

    Please let us know how many of each type of boat you want in this field. You can mix and match types of boats. Boats must be rented in increments of 5.

43. How many people do you want to climb?

    1. 20 people in 2 hours - $205.00
    2. 40 people in 2 hours - $355.00
    3. Call me to discuss my group size and needs.

45. Are you wanting to schedule a challenge course program?*

    1. Yes
    2. No

46. Permits for Event*

    1. None
    2. Alcohol Permit - $135.00 - Wine, Beer, or Champagne only - No hard liquor allowed
    3. Sound Permit - DJ and recorded music allowed for all rentals. Live amplified sound only allowed with a full site rental.

47. 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
49. Additional Comments or Questions

    Add any additional information, or questions you have here.

51. For Internal Office Use Only

    1. PM Rental FA- ____________
    2. Email Confirmation Sent on ________
    3. Added to W2Wk on _____________
    4. Added to Outlook Calendar on _____
    5. Create Payment Reminder on_________________
    6. Rcvd Signed Contract ________________
    7. Rcvd Deposit for Rental ________________
    8. Staff Responding to Email _________________

Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit Submit and Print

* indicates a required field