Name:

Organization - Contact Phone Number -

Street Address -

City -

Reservation Date -

Number of Guests Attending -

This letter will serve as your official notification that the pavilion has been reserved for your use on the above
referenced date. Please have this letter available at your gathering in case anyone should question your reservation.

We acknowledge receipt of your reservation in the amount of $ and your surety check in the amount of $ , which will be cashed by us and refunded to youthe next business day after your event, providing the pavilion is left in good condition, after your use.

With respect to the use of the Park pursuant to this Park Pavilion Reservation, I hereby accept financial responsibility in the event the Township incurs costs in excess of the security deposit for clean-up, after use of the Park Pavilion area and in addition for any damage caused to the Township's property, as a result of such use of the park.

Our reservations are not dependant on the weather and no refunds are givin because of bad weather. It is understood that this reservation is for the pavilion only. You are welcome to use the other park facilities,
but they must also remain available for anyone wishing to use them.

— Parks are open during daylight hours only. Park closes at sunset. —

Should you encounter non-emergency problems, our Code Enforcement Officers can be reached using
#610-442-6917. Should you need help for an emergency situation, dial 911 for assistance.

We ask that anyone attending, please obey all speed limits and observe stop signs, parking requirements, etc. in the area of the Park, if not, all park reservation privileges will be revoked, We hope that your gathering will be a pleasurable time for all involved.

*** Renters Information ***
Please Sign the Printed Copy of this Form

1.) Name (Renters Name- Please Print & Sign) - _________________________________________

2.) Renters Address - _________________________________________________________

3.) Acceptance by Parks and Recreation - ____________________________ Date - ________

*** Area Below to be Filled out by the Township Manager ***

If you are requesting permission for alcoholic beverages,
you must bring proof of identification into the Township Office.
At that time, we will grant permission for Alcoholic Consumption.

License # - ____________________________________________

Expiration - ___________________________________________

Sincerely,

Sandra A Pudliner
Township Manager

** Optional: Permission to have alcoholic beverages at the event has been granted:

**______________________
Sandra A Pudliner, Township Manager

Hanover Township — Lehigh County
2202 Grove Road — Allentown, PA 18109
610.264.1069 — 610.266.9292 — 610.264.2773

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