Form Center

2. Contact Name*

   Contact Person is responsible for relaying all information to the group, including the Art Park Amphitheater Guidelines and Terms and Conditions and the City of Vandalia Park Rules per the permit.

3. Contact Person for the Day of the Reservation*

   This person will be the onsite contact person the day of the reservation who will ensure that all of the Art Park Amphitheater Guidelines and Terms and Conditions and the City of Vandalia Park Rules per the permit are followed.

5. Name of Group
7. Are you a City of Vandalia Resident?*

   1. Yes
   2. No

   (Please note - Butler Township Residents are not City of Vandalia Residents.)

9. The Art Park Amphitheater Reservations are only available to City of Vandalia Residents. Please STOP and do not submit a request..*
   -- Select One --Please STOP and do not submit a request.
11. Address*
13. City*
14. State*
15. Zip Code*
17. Primary Phone Number*
18. Alternate Phone Number
20. Email*
22. 1st Choice Date of Event*
    1st Choice Date of Event
24. 2nd Choice Date of Event*
    2nd Choice Date of Event
26. Requested Beginning Time of Event*
    Requested Beginning Time of Event
28. Requested Ending Time of Event*
    Requested Ending Time of Event
30. Will electricity be needed for the Event? *

    1. Yes
    2. No
32. Two standard 20 AMP Plugs are available. Will this Event require larger 50 AMP Plug capabilities?*

    1. Yes
    2. No
34. Will there be music at this Event?*

    1. Yes
    2. No
36. If yes, what type of music?*
38. Purpose of the Art Park Amphitheater Reservation*
40. Approximate Number of Guests*
42. Special Requests
44. Art Park Amphitheater Guidelines/Terms and Conditions
    Art Park Amphitheater Guidelines and Terms and Conditions (PDF)
46. I confirm I have read and understand the Art Park Amphitheater Guidelines and Terms and Condition (PDF)*

    1. Yes
48. City of Vandalia Park Rules
    City of Vandalia Park Rules (PDF)
50. I confirm I have read and understand the City of Vandalia Park Rules (PDF)*

    1. Yes
52. Electronic Signature*

    By signing your name here, you acknowledge that you have read and fully understand the Art Park Amphitheater Guidelines and Terms and Conditions (PDF) and the City of Vandalia Park Rules (PDF). Completion of this application does not guarantee requested date/time.

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field