City of Belle Plaine Campground Request Form
Arrival Date: ______________________, 20_____
Departure Date______________________, 20_______
Name: _________________________________
Address: __________________________________________
Vehicle License Plate_________
Camper Description(RV, 5th wheel, Brand,Year,etc._________________________________________________
Phone: _________________________________
- Vendors and Campers may not sell products in the parks or campground without first obtaining Park Board permission. All applicable insurance and licenses must be obtained prior to use.
- Organizations conducting special events must receive Park Board permission.
- Pet owners must clean up after their pets.
- There is a $10.00 camping fee per night with a 14 day maximum stay. Must be out by 3:00 p.m.on departure date. Payment to be made at the Clerk’s Office in City Hall.
- Special permission is required from the Parks and Recreation Director for keg beer. A form must be filled out and a $10.00 fee paid. Forms are at City Hall or online.
- Tables may not be removed from the park shelters. An Equipment Loan Request will need to be filled out with a fee $10.00 per day for shelter rental. If the tables are damaged or lost during the loan period the responsible party will be liable for replacement of the table.
- City Park hours are 6:00 a.m.till 10:30 p.m.
- Quiet hours are 10:30 p.m. till 6:00 a.m.
__________________________________________________
Signature of Person Requesting Campground Date
Return this form and payment to:
City of BellePlaine, 1207-8th Avenue, BellePlaine,IA 52208
You will receive a call from the Clerk’s Office or Parks and Recreation Office confirming your request.
Signature & Date:________________________________
Parks& Recreation Director