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Welcome to the
Queen Anne's County 4-H Park
The Crown Jewel of ourAgricultural Heritage
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Application
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FOR OFFICE USE ONLY:
Application Received
Security Deposit Received
Application Approved
Applicant Notified
Insurance Cert Received
Rental Fee Received
Application for Use of Park Facilities
Name of Organization
Contact Name
Address
Phone
Email
Description of Event
Who will Benefit from Event
Date(s) Requested
Start and End Times
Facilities/Area of Grounds requested:
Exclusive Use of Park @ $500/day
Main Hll Only @ $150/day
Main Hall & Shooting Range @ $200/day
Main Hall & Kitchen @ $225/day
Kitchen Only @ $75/day
Kitchen & Dining Hall @ $150/day
Meeting Room Only @ $50/day
Commercial Building #1 @ $50/day
Main Pavilion @ $50/day
Horse Ring & Stables @ $200/day (manure/bedding must be removed)
Other Barns $50/day (manure/bedding must be removed)
Check barns requested:
Swine Barn
Beef Barn #1
Beef/Dairy Barn #2
Beef Barn #3
Beef/Sheep Barn #4
Beef Barn #5
Picnic Pavilion
BBQ Pavilion
Rabbit/Poultry Barn
Crops Pavilion
Goat Barn
By signing this form, I acknowledge that I have read and undestand the regulations and rules as listed on the "Instructions for Rental and Use of the 4-H Park Facilities". I understand that Exclusive Use of the Park does not include the Wilson Building bathroom & showers, Commercial Building #2 and the Agricultural/Farm Museum building and grounds. I understand that my request is not verified until confirmed by the Scheduling Secretary, and all documentation and fees have been collected.
Signature
PRINT THIS PAGE BEFORE SUBMISSION.
Submit Application
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