HomeMy WebLinkAboutAdopt A Park Renewal Application IOWA CITY PARKS AND RECREATION DEPARTMENT
RENEWAL OF ADOPT-A-PARK APPLICATION
NAME OF PARK: __________________________________________________
We request that our Application to Adopt-A-Park be renewed and
extended for another park season from:
APRIL 1 to OCTOBER 31, 2009
This Renewal shall become a part of our original Adopt-A-Park
Application.
NAME OF SPONSOR (organization, group or individual):
_________________________________________________________________
Please type or print name
_________________________________________________________________
Mailing Address (Street, P.O. Box, City, State, Zip Code)
SPONSOR'S CONTACT PERSON - list two:
NAME:___________________________________________________________
PHONE: DAY______________________ EVENING______________________
NAME:___________________________________________________________
PHONE: DAY______________________ EVENING______________________
SPONSOR'S SIGNATURE (if an organization, an officer must sign):
_________________________________________ __________________
Signature Date
_________________________________________
Title of Officer (if any)
Return to:
Parks and Recreation Department
Adopt-A-Park Program
220 South Gilbert Street
Iowa City, IA 52240
APPROVED BY THE CITY OF IOWA CITY:
By:_______________________________________ __________________
Director of Parks & Recreation Date