Rental Request Form - Palatine Park District

Select a Facility*

Birchwood Recreation Center

Community Center

Cutting Hall Performing Arts Center

Falcon Park Recreation Center

Fred P. Hall Amphitheater

Harper HRC (Indoor Pool)

Palatine Hills Golf Course Clubhouse

Outdoor Pool (Birchwood Pool, Eagle Pool, Family Aquatic Center)

Select an Outdoor Pool

Birchwood Pool

Eagle Pool

Family Aquatic Center

Primary Date Requested*

Secondary Date

Start Time*

End Time*

Type of Event*

Attendance Expected*

Please enter a number greater than or equal to 0.

Rental Activity / Equipment*

Please describe facility rental use and any equipment you may need. Examples include tables, chairs, A/V equipment, or electrical.

Will there be an outside vendor providing food or equipment?*

Yes

Please Note: A Certificate of Liability is required for all outside vendors.

Applicant Name*

Date of Birth*

Required for Household Set Up

Company/Organization

If Applicable

Address*

Primary Phone*

Email Address*

Terms & Conditions*