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Special Event Application
To apply for a special event in at Des Moines County park, fill out this form. If you have questions, contact Des Moines County Conservation at (319) 753-8260 or via email at conservation@dmcounty.com.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Business/Organization
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Event Details
Event Name
Your answer
Event Location
*
Park name and location within park, if applicable.
Your answer
Event Start Date/Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Event End Date/Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Event Description
*
Provide specific details of the event including any fees charged and what programs the event profits (if any) will support.
Your answer
Estimated Attendance
*
Include event staff and volunteers.
Your answer
The event will have...
Check all that apply. Some may be required depending on type of event.
Liability waiver
First-Aid Kids
On-site Emergency Services
Emergency Action Plan
Special Accommodations Needed:
Check all that apply.
Shelter Reservation
Group Campsite Reservation
Nature Center Reservation
Shooting Range Reservation
Traffic/Parking Control
On-Site Law Enforcement
Firewood
Electricity
A copy of your responses will be emailed to the address you provided.
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