Form Center

2. 
3. 
5. First Name*
6. Last Name*
7. Phone Number*
   Please enter phone number in format shown.
8. Email Address*
10. What kind of event are you having? *
11. What type of event are you having?

    1. Personal Event
    2. Organizational Event
13. Organization Name: *
15. Organization Address: *
16. Organization City, State, Zip *
18. Create An Online Account
    Click to Create an Account with JCPRD

    Please click on link above to create an online account in our new registration software and protect your personal sensitive information. If you already have an account, please verify your address information in our new system is correct. The rest of the information on this form is needed for your rental contract. You must create an account for a contract to be created. Skipping this step will delay your reservation.
20. Date Requesting Rental*
    Date Requesting Rental
    Please fill in the date you prefer for your rental.
21. Number of People in Group
22. Last Name of Bride & Groom for Weddings
24. 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
25. 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)
26. Rental Time
    Rental Time Start Time

    —

    Rental Time End Time
27. 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
29. 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.
30. 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
31. How many people are you expecting to participate per hour?

    1. 1-20 people/hour
    2. 21 or more/hour
33. Archery Rental Time
    Archery Rental Time Start Time

    —

    Archery Rental Time End Time
    All amenities are rented on an hourly basis.
34. BB Gun Rental Time
    BB Gun Rental Time Start Time

    —

    BB Gun Rental Time End Time
    All amenities are rented on an hourly basis
35. Boating Rental Time
    Boating Rental Time Start Time

    —

    Boating Rental Time End Time
    All amenities are rented on an hourly basis
36. Climbing Tower Rental Time
    Climbing Tower Rental Time Start Time

    —

    Climbing Tower Rental Time End Time
38. How many boats are you wanting to rent?

    1. 5 boats
    2. 10 boats
    3. 15 boats
    4. 20 boats
39. 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)
40. 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.
41. How many people do you want to climb?

    1. 20 people in 2 hours - $225.00
    2. 40 people in 2 hours - $400.00
    3. Call me to discuss my group size and needs.
43. Are you wanting to schedule a challenge course program?

    1. Yes
    2. No
44. 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
46. Additional Comments or Questions
    Add any additional information, or questions you have here. Is this event is for an organization, please note here.
48. For Internal Office Use Only

    1. Contract - R#____________
    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:


49. Submit

* indicates a required field