Smithville MO

Pool is Open:
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Make your Shelter reservation here
 

Check
Available Dates

To reserve the shelter, please print this form, fill it out completely, and mail with your
$25.00 deposit check to: HHOA PO Box 108 Smithville, MO 64089

RESERVATION REQUEST FORM

Date Reservation Received: ______________ Reservation Date: ___________________


Time of day for Event:  Start ____________________   End____________________


Deposit Received: $__________ Date Deposit Received: ____________ Check #________


Deposit Refunded: $____________ Date Deposit Refunded: _______

Name: _____________________________________________________________________


Address:____________________________________________________________________

Phone Number(s):_____________________________________________________________

Type of Activity:___________________________________________________________

_________________________________________________________________________

 Number of Guests Expected: _____________________________________(Max of 50)

Reservations will not be confirmed until the deposit payment has been received.

I have read the rules for the shelter house usage and agree to them. I will receive a refund if there are no damages, nothing broken and nothing missing and if the shelter and shelter area is left clean and neat. I understand that if the cost to repair damages to the shelter or to replace missing items exceeds my deposit, I may be assessed for the costs to repair and/or replace the damage or missing items.

Signature: ___________________________________          Date: _____________

Post event condition of shelter and surrounding greenspace:

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