NUMBER______________
 

SCOTTS HILL PARKS DEPARTMENT

RECREATIONAL DAY USE PERMIT

SCOTTS HILL CITY PARK GAZEBO PARK
600 Highway 114 S 75 Highway 114 S
Scotts Hill, TN 38374 Scotts Hill, TN 38374

 

CHECK WHICH PARK

DATE _______________ TIME_______________


 

FACILITY
TO USE

GROUP
USING FACILITY

EVENT TO
BE HELD

o     Entire Park

o    Family

o     Reunion

o     Little Pavilion

o    Church

o     Picnic

o     Farmer’s Market

o    School

o     Rally

o     Big Pavilion

o    Business/Company

o     Benefit

o     Arena

o    Civic Group

o     Revival

o     Other___________

o    Other___________

o     Other___________

 

Name of group using facility _____________________________________________

 
Person requesting facility _______________________________________________
 
Phone number ________________________________________________________

Group using facility is expected to clean up after themselves afterwards and to observe all rules and regulations in the park such as no alcoholic beverages of any kind and no fire arms.  No admission can be charged for events in some facilities at the city park.  The Town of Scotts Hill is not responsible for injuries.