Potomac Valley Audubon Society · Yankauer Preserve Use Request Form

Applicant Information

Name of Organization

Name of Primary Contact *

First Name

Last Name

Email *

Verify Email *

Phone number *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Event Information

Event type: *

i.e. spelunking, family reunion, camp session, meeting, wedding, etc.

Event date or dates requested *

Event time/s requested *

Estimated number of attendees *

Amenities Information

When you select amenities below, please note that pavilion rental includes parking. The parking-per-large and/or commerical vehicle charge is for those groups who are not renting the pavilion. A larger and/or commericial vehicle is defined as any vehicle that can hold 8 or more passengers, including the driver or contains passengers paying a fee/fare.

Rental Type *

Pavilion (includes parking)

Parking Only

Other

Chairs and Tables *

charge in addition to pavilion rental fee

Yes

No

Number of Vehicles *

Please specify any additional amenities you are requesting:

Yankauer User Agreement *

• Trash must be removed offsite by ALL groups and individuals. Please bring your own garbage bags. • Yankauer Nature Preserve is open from dawn to dusk only. It is closed at dark. • NO ALCOHOLIC BEVERAGES OR FIRES ARE PERMITTED! • This reservation does NOT secure the entire facility or preserve for your event. There may be other visitors at the preserve. • Applicant is responsible for cleanup and pay damages that may occur during their event. • Please respect neighbors and their property. Observe the posted speed limit.

I agree to all terms of the Yankauer User Agreement

Please type in your full name below to indicate acceptance of all terms. *