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Facility Request

**THIS FORM IS NOT COMPATIBLE WITH CELL PHONES**

Please contact the Public Works Department at (540)463-3154 to tentatively schedule a facility request before submitting this form.  

Once your request has been submitted, please allow 5-7 days for your request to be approved. A member of the Public Works department will be in contact with you to let you know the status. 

Should you have any questions, please contact the office at Public Works at 540-463-3154.

Facility Request Form







Brewbaker Field
Brewbaker Picnic Area
Fox Field
Hopkins Green
Jordan's Point Pavilion
Jordan's Point Playing Field
Richardson Park
Yes
No
Individual; for profit
Team; for profit
Charity
Pleasure
Other

List the name, address, and phone number of three people to serve as representatives of the organization.

The above information is true to the best of my knowledge and belief. I understand that this reservation is not confirmed until written approval is received.





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