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Please select all dates that your organization wishes to use The Splash Pad at Peay Park. If you do not plan to use the splash pad during one or more of the three months listed, please check the box at the bottom of the dates that says "No Dates".
Check all desired dates
Please read before continuing.
I agree that I have read and understand all of the rules and regulations for The Splash Pad at Peay Park, and I will ensure the staff within my organization, along with the children are aware and adhere to these rules as they are stated.
I understand that if my group is selected to play at The Splash Pad at Peay Park, my organization chaperones are responsible for ensuring the children are following all rules. I additionally understand that the splash pad is not staff, and my chaperones are required to be actively engaged with the children at ALL times.
I understand that if my group is selected to play at The Splash Pad at Peay Park I am required to adhere to the designated Arrivals and Departures schedule: group arrivals begin at 9:30am and departures from the facility will be no later than 11:00am.
I understand that if my group is selected to play at The Splash Pad at Peay Park I am required to adhere to the required adult to child ratio: a ratio of one adult chaperone for every ten children.
I understand that if at any time my organization is not following the above rules and regulations as they are stated, I may be asked to leave the facility and forfeit any future scheduled times at the splash pad.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) 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 3) you may still be required to provide a traditional signature at a later date.
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