Special Activity AgreementSpecial Activity Agreement • 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
