2. 

4. This form is to provide information and request a rental at Schwiebert Riverfront Park.

6. Reservations should be made in advance. For reservations on short notice, contact the 309-732-7439 during regular business hours. We will contact you via email or phone to let you know if space is available. A credit card may be required to hold a reservation.This request does not guarantee a reservation.

8. 
   CONTACT INFORMATION
10. Name
12. Fiance's Name*
14. Main Contact Address*
16. City*
17. State*
18. Zip Code*
20. Phone*
22. E-Mail*
24. 
    EVENT INFORMATION
26. EVENT TYPE
    -- Select One --Wedding CeremonyReceptionWedding & Reception
28. LOCATION
    -- Select One --Main Stage & Great LawnObservation Shelter
30. Preferred Date of Event*
32. Event Times

    Event times include set-up and tear-down. Please include what time you would like to arrive/set up, ceremony time, and departure time.

34. Total Anticipated Number of Guests*
36. Requesting to rent chairs?
    -- Select One --YesNo

    (fee added)

    90 white resign available. Set up/tear down fee is you would like parks staff to handle. Mixing our chairs/tables with rental companies is not allowed.

37. If so, how many?
39. Requesting to rent tables?
    -- Select One --yesno

    (fee added)

    10 white resin available.  Set up /tear down fee if you would like parks staff to handle. Mixing our chairs/tables with rental companies is not allowed.

40. If so, how many?
42. Requesting permission to have amplified sound?
    -- Select One --YesNo

    (Amplified sound rental fee added)

43. If so, will you rent our sound system or provide your own?

    (Rental fee added) Parks sound system includes 2 speakers, 2 microphones with stands, and adaptor for CD player, MP3 or Ipod. Designed for speaking and solo artists, not suitable for band amplification.

45. Requesting to serve food at your reception?
    -- Select One --YesNo
46. If so please list caterer name and phone number.
48. Requesting permission to serve alcohol at your reception?
    -- Select One --YesNo

    Additional fees and documentation needed. Please contact Special Events Manager for requirements and fees.

50. Requesting permission to set up a tent?
    -- Select One --yesno

    $50 fee for tents over 1,000 square feet.

51. If so, how many tents and what size?
53. Requesting permission for special equipment/vehicles on park property?
    -- Select One --yesno

    If so contact Special Events Manager for more details.

55. How did you hear about us?
57. Policies

    • Alcohol is not allowed in the park without proper documentation and fees. • No set-up or decorating may take place until RI Parks & Rec staff is present. • A minimum refundable damage deposit is required for wedding reception along with a valid credit card on file. • Applicant is responsible for set-up and tear-down of all chairs, tables, equipment and decoration, as well as clean-up and taking trash to dumpster. Failure to do so will result in additional fees. • Parks Staff will set up sound system (if rented) and applicant will appoint person to operate system. • Prohibited: confetti, bird seed, rice, silk petals, or any other material that may cause litter. • In case of inclement weather, equipment rental fees will be refunded. Park rental fee is non-refundable. • Stakes may not be used in lawn due to irrigation system. • Failure to clean up park after use may result in additional clean-up fees. • Glass bottles are not allowed in the park for safety reasons. • Cancellation policy: With at least a 30-day notice, the applicant will receive a refund of fees, less a cancellation of a $50 fee. With at least a 15-day notice, the applicant will receive a refund of fees, less a cancellation of a $100 fee. Within a 15-day notice, no refunds will be issued. Inclement Weather cancellations must be discussed with Parks Special Event Manager.

59. Signature

    By submitting this form Applicant agrees: to bear all costs of policing; cleaning and restoring park property used pursuant to the permit, to reimburse the Park Board of all such costs incurred by the Park Board; to allow charge of credit card in case of damage exceeds damage deposit; to indemnify the Park Board and the City of Rock Island and hold the Park Board harmless from any liability to any person resulting from damage or injury occurring in connection with the permitted event proximity caused by the action of the applicant, its officers, employees, or agents or any person under applicant’s control; to limit all activities conducted on Park Board property to the terms of the permit; and that failure to abide by the terms of the permit or any other applicable laws, rules or regulations may result in revocation of the permit, retention of all or a portion of the damage deposit, fines, or result in revocation of the permit. The undersigned agrees by the execution hereof to indemnify and hold harmless the Rock Island Park Board and the City of Rock Island against all liabilities, costs, and expenses which may arise in consequence of the granting of this permit. I do solemnly swear (or affirm) that all answers given and statements made on this application are full and true to the best of my knowledge and beliefs. I have received, read and agree to the terms of the event and facility rules as well as the Rock Island Park Board Code of Ordinances and agree to abide by them.

61. COMMENTS
63. *indicates required fields
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64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit Submit and Print

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