Picture Rocks, PA · Lycoming County
Van Rensselaer Park Reservation Request
Picture Rocks Borough’s reservation request lets residents and groups request park facilities for an event by providing contact, event, attendance, and pavilion information.
What this form is
Use this request to ask Picture Rocks Borough to reserve Van Rensselaer Park facilities for an event. It asks for the applicant’s contact information, group name, event description, date and time, estimated attendance, pavilion selection, and any additional notes; it also includes park rules and a release. The form lists facility-use amounts and states that nonprofit and charitable organizations are exempt from the fee schedule.
Who needs it
Residents, organizations, and other groups seeking to use Van Rensselaer Park facilities for an event should complete this request.
How to submit it
Send the request to Picture Rocks Borough, P.O. Box 410, Picture Rocks, PA 17762. The form lists borough and park manager phone numbers and asks applicants to include a check or money order for facility-use donations.
About notarization
This request has no notary block; the applicant signs and dates it, and no sworn or notarized attachment is identified.
How to submit this form
- 1
Download The Request
Download the Van Rensselaer Park reservation request.
- 2
Complete The Request
Fill in your contact and group information, event details, estimated attendance, pavilion choice, and any additional notes.
- 3
Gather Any Donation
If making a facility-use donation, include a check or money order payable to Picture Rocks Borough.
- 4
Mail The Request
Send the request to Picture Rocks Borough, P.O. Box 410, Picture Rocks, PA 17762.
Frequently asked questions
- What information does the park reservation request ask for?
- It asks for contact details, a group or organization name, event description, date and time, estimated attendance, pavilion selection, and additional notes.
- How do I submit the Van Rensselaer Park reservation request?
- Mail the completed request to Picture Rocks Borough, P.O. Box 410, Picture Rocks, PA 17762. The form also lists phone numbers for the borough and park manager.
- Do I need a notary for the Van Rensselaer Park reservation request?
- No. The request has no notary block; the applicant signs and dates it, and the form identifies no sworn or notarized attachment.
- Does the form mention facility-use costs?
- Yes. It lists amounts for pavilion use and says nonprofit and charitable organizations are exempt from the fee schedule. It also requests a check or money order for facility-use donations.