NOTE: You must be a City of San Mateo Resident to Reserve a Picnic Area.

This form is for collecting information for your picnic reservation.
This is NOT an approval or confirmation of your request.

APPLICANT INFORMATION

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Street Address*

City*

Zip*

Home Phone*

Work Phone*

Email Address*

ORGANIZATION/GROUP INFORMATION

Organization/Group Name

Street Address

City

Zip

Phone

Fax

Are you authorized to represent this organization?

Yes

No

Type of Organization

PICNIC INFORMATION

Name of the park you are requesting

Specific Area

Type of Event

Date of Event

Day of Week

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Anticipated attendance

Time of Use:
(You have the picnic area for the entire day)

FROM:

TO:

Will you have an inflatable jump house?

Yes (An additional $15 fee will be added)

No

Will you be having alcohol?

Yes (An additional $40 fee will be added)

No

RULES & REGULATIONS

By clicking submit, you:
A.) acknowledge and agree to the Park Rules and Regulations related to picnic reservations shown above.
B.) acknowledge that the information you have provided on this application is true and accurate.