Book Online | Queen Anne's County 4-H Park

Application for Use of Park Facilities

Name of Organization

Contact Name

Address

Phone

Description of Event

Who will Benefit from Event

Date(s) Requested

Start and End Times

Will Alcohol be sold at your event?

Have you obtained a liquor license?

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.

To reserve the QAC 4-H Park under the 4-H Banner, an event must be directly hosted by the 4-H program or a chartered club. QAC 4-H holds a general liability policy that covers such events, including youth, volunteers, and spectators. That coverage does not extend to events being hosted by other organizations who may be sharing/donating profits to a club, therefore, those entities must reserve the Park themselves and provide a certificate of insurance to the QAC 4-H Park Board of Directors. In addition, it is highly recommended that sponsors of high-risk activities such as horse riding and shooting sports clubs seek additional insurance coverage. Please connect with your County Extension Agent to discuss options.

Signature

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Welcome to the Queen Anne's County 4-H Park

Application for Use of Park Facilities

PRINT THIS PAGE BEFORE SUBMISSION.

Welcome to the
Queen Anne's County 4-H Park