Lapeer County Parks
Lapeer County Buildings and Grounds / Parks
255 Clay St. Lapeer, MI 48446
(810) 245-4794 (810) 245-4180 (fax)
Instructions: This date is reserved until payment due date. Please sign form and return with payment by due date to complete reservation.
Date Of Registration: _____________ Time: From: ________ To: _________
Number In Group: ___________ Name Of Group / Activity :______________
Person In Charge:____________________ Lapeer County Resident : ( ) Yes ( ) No
Address: __________________________________ Telephone Number: ____________
Torzewski County Park Fees General Squier Park Fees
( ) Amphitheater $_______ ( ) Forest Hall $_______
( ) Pavilion A $_______ ( ) Damage/ cleaning deposit $_________
( ) Pavilion B $_______ ( ) Pavilion A $_______
( ) Pavilion C $_______ ( ) Pavilion B $_______
( ) Pavilion D $_______ ( ) Pavilion C $_______
( ) Forest Hall Pavilion $_______
Total Amount Due $_________________ Payment Due By :_________________
The person signing this Registration on behalf of the above group/party agrees to hold harmless, to the fullest extent permitted by law, the Lapeer County Buildings and Grounds/ Parks and Their agents against any and all claims, demands, suits or loss, by reason of personal injury, including bodily injury or death, And to assume personal liability for breakage, destruction or removal of park property by any member of the group/ party, and agrees to the terms and conditions of this registration.
This registration is not transferable: The person in charge must be 18 years of age or older; Adult supervision is required for all groups under the age of 18 years; Two (2) week cancellation notice required to receive refund. ($ 3.00 processing fee withheld from refund).
Signature of Person In Charge:_________________________________________
This reservation does not convey any special privileges for the use of parking, grills, picnic tables or other park property not specifically reserved by registration. Any deviations/ special instructions must be approved by the Director.
For Office Use Only:
Received At Office By: ______________________ Date: ____________
Please Make Checks Payable To: Lapeer County