Special Event Request Form
Southern Maryland Recreational Complex
Date submitted: _________________________
Name of Event: _______________________________________________________________
Proposed Date and Time of Event:______________________________________________
Location and Description of Event: _______________________________________________
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Area Requested: ____________________________________________________
Special Accommodation (Disability access, etc.): _______________________
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Anticipated Attendance: Adults ____________ Children _________
Contact Person: __________________________________
Street or P.O. Box: ______________________________________________________
City, State, Zip:_________________________________________________________
Home Phone #: ______________________ Work Phone #: _______________
Fax Number (Required): _____________ E-mail (Required): ______________
Best time to contact: _______________
Notes/Comments: ____________________________________________________________
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Cedarville State Forest
Mail this form to:
10201 Bee Oak Road
Brandywine MD 20613
Phone: 301-888-1410 or 800-784-5380
Fax: 301-579-6472