SUBMIT COMPLETED ACTIVITY AGREEMENT 90 DAYS PRIOR TO EVENTColorado Parks and Wildlife • October 16th, 2021
GENERAL 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
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • October 17th, 2017
GENERAL INFORMATION Name of Site/ Area Requested: Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Name of Event: Type of Activity: Competitive? Yes No Number Participants: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. Name: 1. Will other state parks be used? Yes No Address: If yes, list park(s) City: State: Zip: 2. Will you be selling items at event? Yes No Public Contact Phone #: If yes, list items E-mail: 3. Will a fee or donation be collected? Yes No Event Day Cell Phone #: If yes, amount(s) of fee(s): ( EVENT DAY CELL FOR PARK USE ONLY) CONDITIONS Please read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reservedby this agreement. Violation of these rules or any laws or Park Regulations
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • January 3rd, 2023
GENERAL INFORMATION Name of Site/ Area Requested: Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Name of Event: Type of Activity: Competitive? Yes No Number Participants: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. Name: 1. Will other state parks be used? Yes No Address: If yes, list park(s) City: State: Zip: 2. Will you be selling items at event? Yes No Public Contact Phone #: If yes, list items E-mail: 3. Will a fee or donation be collected? Yes No Event Day Cell Phone #: If yes, amount(s) of fee(s): ( EVENT DAY CELL FOR PARK USE ONLY) CONDITIONS Please read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reservedby this agreement. Violation of these rules or any laws or Park Regulations
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • January 29th, 2021
GENERAL INFORMATION Name of Site/ Area Requested: Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: CID # (if applicable): Name of Event: Type of Activity: Competitive? Yes No Number Participants: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. Name: 1. Will other state parks be used? Yes No Address: If yes, list park(s) City: State: Zip: 2. Will you be selling items at event? Yes No Public Contact Phone #: If yes, list items E-mail: 3. Will a fee or donation be collected? Yes No Event Day Cell Phone #: If yes, amount(s) of fee(s): ( EVENT DAY CELL FOR PARK USE ONLY) ID/Driver license # & State: (FOR PARK USE ONLY) CONDITIONS Please read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reservedby t
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • January 13th, 2019
GENERAL INFORMATION Name of Site/ Area Requested: Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Name of Event: Type of Activity: Competitive? Yes No Number Participants: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. 1. Will other state parks be used? Yes No If yes, list park(s) 2. Will you be selling items at event? Yes No If yes, list items 3. Will a fee or donation be collected? Yes No If yes, amount(s) of fee(s): Name: Address: City: State: Zip: Public Contact Phone #: E-mail: Event Day Cell Phone #: ( EVENT DAY CELL FOR PARK USE ONLY) CONDITIONSPlease read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reserved by this agreement. Violation of these rules or any laws or Park Regulations c
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • July 22nd, 2021
GENERAL INFORMATION Name of Site/ Area Requested: CHATFIELD STATE PARK Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Type of Activity: COMMERCIAL/MARKETING PHOTOGRAPHY County Business Resides within: Total Staff Members on Site: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. Name: 1. Will the name of the filming/photo location be Address: credited? Yes No City: State: Zip: Public Contact Phone #: 2. What are the total fees charged to your client? Social Media: Amount(s) of fee(s):$ E-mail: Event Day Cell Phone #: ( EVENT DAY CELL FOR PARK USE ONLY) CONDITIONS Please read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reserved by thisagreement. Violation of these rules or any laws
Special Activity AgreementColorado Parks and Wildlife • May 11th, 2017
Name of Park(s) Arkansas Headwaters Recreation Area (AHRA) Name of site requested Official name of your group(s) Number of: Vehicles Vessels Participants Type of activity Date of activity Time of Arrival Time of Departure Responsible Person Disclosure Name Address City State ZIP Phone # H W Fax Email 1. Will other State Parks be used?Yes No If yes, list park(s) 2. Will you be selling items at this event?Yes No 3. Will a fee or donation be collected?Yes No
SUBMIT COMPLETED ACTIVITY AGREEMENT 90 DAYS PRIOR TO EVENTColorado Parks and Wildlife • December 4th, 2018
Name of Site/ Area Requested: Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Name of Event: Type of Activity: Competitive?Yes/No Number Participants: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • July 22nd, 2021
GENERAL INFORMATION Name of Site/ Area Requested: CHATFIELD STATE PARK Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Type of Activity: COMMERCIAL/MARKETING PHOTOGRAPHY County Business Resides within: Total Staff Members on Site: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. Name: 1. Will the name of the filming/photo location be Address: credited? Yes No City: State: Zip: Public Contact Phone #: 2. What are the total fees charged to your client? Social Media: Amount(s) of fee(s):$ E-mail: Event Day Cell Phone #: ( EVENT DAY CELL FOR PARK USE ONLY) CONDITIONS Please read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reserved by thisagreement. Violation of these rules or any laws
COLORADO PARKS AND WILDLIFEColorado Parks and Wildlife • July 22nd, 2021
GENERAL INFORMATION Name of Site/ Area Requested: CHATFIELD STATE PARK Date(s) of Request: Earliest Set-up Date/Time: Will you be having multiple events this year? Yes No Latest Clean-up Date/Time: Official Name of Group: Type of Activity: COMMERCIAL/MARKETING PHOTOGRAPHY County Business Resides within: Total Staff Members on Site: Number of Vehicles: RESPONSIBLE PERSON DISCLOSURE This information will be used for both public and park reference. Name: 1. Will the name of the filming/photo location be Address: credited? Yes No City: State: Zip: Public Contact Phone #: 2. What are the total fees charged to your client? Social Media: Amount(s) of fee(s):$ E-mail: Event Day Cell Phone #: ( EVENT DAY CELL FOR PARK USE ONLY) CONDITIONS Please read and initial the following items where indicated. I understand that I am the responsible party for compliance with Statutes, Regulations and the condition of Park property reserved by thisagreement. Violation of these rules or any laws
