Form Center

2. 
4. City of Jenks
   PO Box 2007
   211 N Elm St Jenks, OK 74037
   918-299-5883
6. Date of Application*
   Date of Application
8. **Jenks Parks Are Open With Social Distancing Still In Effect.**
10. Organization/ and or Individual Requesting Reservation:*
    Must be a Jenks resident
12. Mailing Address:*
14. Type of Event: *
16. Is the Organization Private or Non- Profit?*

    1. Private
    2. Non-Profit
    3. No

    Please choose one.
17. If No, please provide explanation. *
19. Contact Person:*
21. Address*
23. City*
24. State*
25. Zip Code*
27. Phone Number:*
28. Email Address*
30. Reservation For:
32. Day of Week*
    -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday
33. Date:*
    Date:
34. Time:*
    Time:
    (starts)
35. Time*
    Time
    (ends)
37. Please select a Pavilion: *
    -- Select One --Pavilion #1 (By the Monument)Pavilion #2 (By the Pond)Pavilion #3 (By the Playground)

    Electric connections are only available at Pavilion #1.
39. Please Read: Park Pavilion Regulations
    WHO MAY RESERVE A PARK PAVILION:
    A facility is available only for Jenks organizations, Jenks residents, and their guests. Parks may not be used for commercial events. Church social functions may reserve these facilities under this procedure. Church and worship services are only allowed if approved by City Council and such events which must appeal to the community at large and be ecumenical in focus.
    SCHEDULING/RESERVATIONS:
    Scheduling for a park pavilion is on a first come-first serve basis and events may not be scheduled more than thirty days in advance. Generally, the facility is available seven days a week; from 8:00 a.m. until 9:00 p.m. The reserving party shall arrive one (1) hour in advance of use and post a copy of its permit at the facility in general view. Any dispute in regard to the permitted use at the time of the event should be directed to the Police Department at 299-6311.
    FACILITIES AND GROUNDS:
    Groups will bag and carry refuse to refuse receptacles provided on the grounds. You/your organization are responsible for the cleanup of the area. You/your organization are also responsible for directing of traffic, if necessary. Water may or may not be available at the site and the organizer should plan accordingly. Any damages to the site shall be the responsibility of whoever holds the permit for the event.
    ELECTRIC SERVICE:
    Electric connections are only available at Pavilion #1 (by monument).
    INFLATABLES:
    Liability Insurance Required Use of inflatables (“Bounce Houses”, etc.) will require prior submission to the City of public liability insurance coverage by the operator in an amount of not less than $1,000,000.00.
41. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) you have read and agree to the conditions indicated in the Park Pavillion Regulations, 2) your reservation form will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree.
43. Electronic Signature*
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit Submit and Print

* indicates a required field