Alpine Hills Adventure Park Rental Request
Rockford Park District
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
example@example.com
Type of Event
*
Desired Reservation Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Alternate Reservation Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time - Start
*
Hour Minutes
AM
PM
AM/PM Option
Time - End
*
Hour Minutes
AM
PM
AM/PM Option
# of Guests
*
Please note capacity of 75 for facility rentals and capacity of 25 for Adventure Room rentals
Additional Information / Notes
Submit
Should be Empty: