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BUTTE-SILVER BOW PARKS AND RECREATION DEPARTMENT 126 WEST GRANITE STREET BUTTE, MT 59701 PHONE: [PHONE REDACTED] FAX: [PHONE REDACTED] RESERVATION REQUEST FORM Please note: All fields must be completed for the form to be processed! Please check availability and reserve the park or facility online instead of or in addition to completing this form at http://co.silverbow.mt.us/774/Reserve-Park-Pavilions-Picnic-Shelters Today’s Date: Organization or Event Name: Number of people attending:__________ Address: Contact Person: Email: Requested Parks & Recreation property or Proposed date of use: Proposed time of use (including set up/clean up): Request of labor or equipment from Butte-Silver Bow Parks and Recreation Department (requests are reviewed on a case-by-case basis, and are not guaranteed to be fulfilled): Special Event Permit required: Date applied for: (A Special Event Permit is required if the event will be attended by 500 or more people, and/or requires street closures, and/or takes place in the Original or Anselmo mine yards.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Official Use: Reserved by: Approved Denied Reason: Fee assessed for facility use: Fee assessed for labor/equipment use: Fee paid Total amount paid: ---PAGE BREAK--- BUTTE-SILVER BOW PARKS AND RECREATION DEPARTMENT 126 WEST GRANITE STREET BUTTE, MT. 59701 PHONE: [PHONE REDACTED] FAX: [PHONE REDACTED] PARKS FACILITIES AVAILABLE FOR RESERVATION Basin Creek Park Clark Park (please specify one of the following): Florence Avenue Gazebo Florence Lot Pavilion George Street Gazebo Texas Avenue Gazebo Volleyball Pavilion Copper Mountain Park (please specify one of the following): Concession Pavilion Field 4 Pavilion Playground Pavilion Emma Park Father Sheehan Park Mountain Con & Foreman’s Park Stodden Park (please specify one of the following): Ballfields Pavilion Playground Pavilion