City of Mingus, Texas

Appendix A — Park Reservation and Event Permit Application

Referenced in Title V – Parks and Recreation

Applicant Information

Applicant Name
Organization / Group
Mailing Address
Phone
Email

Event Details

Park / Facility Requested
Date of Event
Start Time		End Time
Estimated Attendance
Type of Event	Private Gathering Community Event Fundraiser Wedding / Reception Other
Event Description

Additional Information

Amplified sound or music planned
Vendors or food service on site
Temporary structures (tents, stage, etc.)
Electric or water access required
Alcohol requested (separate permit required)

Fees and Deposits

Application and deposit fees must be paid at the time of submission. Refer to the current City of Mingus Fee Schedule for rates.

Applicant Certification

I hereby certify that the information provided is true and accurate and that I agree to comply with all City ordinances and regulations. I accept responsibility for the conduct of participants and the condition of the facility after use.

Applicant Signature		Date

For City Use Only

Received By		Date Received
Deposit Amount		Receipt #
Event Approved By		Approval Date
Notes / Conditions

↑ Return to Title V – Parks and Recreation | Code Index