First Name * Please enter your First Name

Last Name * Please enter your Last Name

E-mail * Please enter email address/username

Phone Please enter your phone

Event Name * Please enter your Event Name

Event Description Please enter your Event Name

Event Date *

Location * Highlands Church

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Number of People *

Please review the playground and splash pad guidelines, then indicate that you have read and agree to the terms. *

Playground Reservation Terms for eSPACE.pdf

I have read the playground and splash pad guidelines and agree to all terms. *

Yes

Please read and sign the following waiver of liability, then upload it to this form or email it to events@highlandschurch.org . If you are reserving the playground and splash pad only, this waiver is not required. *

REVISED Updated Legal Waiver.docx.pdf

Please upload a signed liability waiver. *

Real Person Verification