GREENHORN MEADOWS PARK RESERVATION FORM Name or

GREENHORN MEADOWS PARK RESERVATION FORM
Name or person responsible for this reservation: _____________
Mailing Address
City
State
Zip
Phone Number:
Email:
Area Reserved:
@$75/half day
@$125.00/day
Site Address: 7500 Hwy. 165W, Colorado City, CO 81019
___________
___________
Date(s) Reserved:
IF ALCOHOLIC BEVERAGES ARE CONSUMED DURING YOUR FUNCTION,
AN ALCOHOL PREMIT FROM CCMD IS REQUIRED. The park and
campground will be patrolled by the Pueblo Count Sheriff’s Department and our
park patrol to enforce these rules!
CCMD Alcohol permit required:
Yes
No
(Fee $50.00) Okayed by CCMD Board on Date:
Security Deposit*:
Date Due:
*refundable provided area is left in a clean, unharmed state
Total Fees Due________________ Date Due:
Please make checks payable to CCMD. If payment is not received by the above date your
reservation will be cancelled.
FULL REFUND GIVEN ONLY WITH ONE MONTH ADVANCED
CANCELLATION NOTICE.
I/We have read the Rules and Regulation sheet and agree to abide by all requirements.
I/We further agree to self-enforce the terms of the Alcoholic Permit (if alcoholic
beverages are consumed during our function). I/We further agree to hold the Colorado
City Metropolitan District harmless in the event of accident or injury resulting from the
use of the above reserved facilities.
Signed
Date
COLORADO CITY PARKS AND RECREATION - P.O. Box 20229 – Colorado City, CO 81019 – Ph (719) 676-3059