SUBMIT COMPLETED ACTIVITY AGREEMENT 90 DAYS PRIOR TO EVENTColorado Parks and Wildlife • October 16th, 2021
Contract Type FiledOctober 16th, 2021GENERAL INFORMATION Name of Site/ Area Requested:Roxborough State Park - Parkwide 1st Quarter (Jan-March) 2nd Quarter (April-June) 3rd Quarter (July-September) Will you be having multiple events this year? Yes No 4th Quarter (October-December) Official Name of Group: CID # (if applicable): Name of Event: Type of Activity: Commercial Photography Number Participants: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for park reference. Name: 1. Will other state parks be used? Yes No Date of Birth: If yes, list park(s) Address: 2. Will you be selling items at event?Yes No City: State: Zip: If yes, list items E-mail: 3. Will a fee or donation be collected? Yes No Public Phone #: If yes, amount(s) of fee(s): Event Day Cell Phone #: ID/Driver license # & State: CONDITIONS Please read and initial the following items where indicated. The Division of Parks and Wildlife maintains the right and authority to amend or cancel this permit at any time should the appli