Shelter House Reservation Request Form

Please complete and submit this form to the Village Fiscal Officer in order to reserve the Sugar Grove Veteran’s Community Park Shelter House. All reservations are subject to approval and confirmation.

Renter Information

Name

Address

City, State, ZIP

Phone Number

Email Address

Are you a resident of the Village of Sugar Grove?

Yes

Reservation Details

Date Requested

Time of Use: From

Time of Use: To

Purpose of Rental (e.g., birthday, reunion, meeting)

Estimated Number of Guests

Payment (Non-Residents Only)

Payment Method

Check

Money Order

Credit Card

Amount Paid: $50.00

Check or Transaction #

Acknowledgement

I acknowledge that I have received, read, and agree to the terms and conditions outlined in the Sugar Grove Veteran’s Community Park Shelter House Rental Agreement. I understand that failure to comply may result in forfeiture of rental privileges and/or deposit.

Signature of RenterType your full name to sign, or sign the printed copy.

Date

Village Approval

Approved

Denied

Approved By

Approval Date

Submit via Email opens your email program with your answers filled in. A signed form, photo ID, attachments or payment still need to be delivered as the form says.