Potomac Valley Audubon Society · Yankauer Facilities Use Request Form

Group 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

Reservation Information

Event Type: *

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

Event Date(s) Requested *

Please note that requesting a date DOES NOT guarantee this date. Also, the Yankauer Nature Preserve will remain open to the public during your event.

Event time/s requested *

Estimated Number of Attendees *

Estimated Number of Vehicles *

Reservation Type *

Package A: includes parking, bathroom use, and pavilion without amenities (except 2 small picnic tables). $20/day

Package B: includes parking, bathroom use, and pavilion with full amenities (electricity, tables, and chairs). $150/day

Please specify any additional amenities you are requesting:

Yankauer Facitilies Use 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. • No releasing balloons or paper lanterns. • Absolutely no glitter, confetti, or silly string.

I agree to all terms of the Yankauer User Agreement

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