Town of Mocksville Parks Department

171 S. Clement Street, Mocksville, NC 27028
336-753-6700
Fax: 336-751-9187

Online Application to Reserve Shelters at Rich Park

This application and your fee must be submitted to make a reservation. If you are not able to complete the online form, you can download and print the Shelter Rental Form and bring it into the offices or submit by fax to the number above. Both the application and your fees must be submitted to finalize reservations.

This form allows for the reservation/rental of Rich Park shelters. Please review the Reservation Calendar HERE prior to completing the form to see whether your date and time is available.

Park Rules

• No Alcohol, Drugs or Firearms allowed at any event-NO EXCEPTIONS!
• Facility should be left as found.
• Picnic tables must not be moved.
• Please allow for 1 hour of clean-up between reservations.
• Presenting abusive language and/or behavior may result in expulsion from the park.
•  Park grills are designed for charcoal only. It is unlawful to gather and burn wood on Town Park Property. Personal grills may be used. Grills must be used outside the shelter.
• No Open Fires
• No Refunds. Rain dates will be scheduled during the same season if available at the same or comparable location.
• Rain dates must be requested within 8 hours of the original rental date.

Responsibility

The person who made the reservation will be held responsible for the usage of the shelter/field and will be liable for clean-up and charges for damages or maintenance fees incurred as a result of the activity. By reserving a Town facility you accept responsibility for usage of the shelter and/or field and will be liable for the cost of clean-up and/or any damages incurred as a result of this activity. Law enforcement and town staff have the final authority to end any rental due to disregard of park rules, violations of the law or unsafe activities. If your rental is ended for the reasons outlined above, you will not be entitled to a refund of the rental fees.

Rental Fees

All shelter rentals by Town Residents are reimbursable following inspection when finding the area left clean.

48hr notice is required to rent shelters. Shelters are only available for rent:

• Morning: 10 a.m. to 2 p.m.
• OR Afternoon 3 p.m. to 7 p.m.

*Additional $10 for shelter rentals before 10 a.m. & after 7 p.m. The full day fee will be charged for all rentals that include Morning and Afternoon times.

You can view the shelters and fields and read more about the amenities available on the Rich Park page of our website.

Reservation Application

Please note the shelters and fields are not available for rental during the winter months and during that time the online form will be inactive.

Application to Reserve Town of Mocksville Park Shelters

Application to Reserve Town of Mocksville Park Shelters

Application and Fees Must be Submitted to Finalize Reservations.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Phone

Email

Organization

If applicable please include the name of the organization you are making the reservation for.

Event Information

Please include the type of event you are requesting a reservation for.

Date of Event

This is the date you are requesting a reservation for – your event date.

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Event Time

Hours

:

Minutes

AM PM AM/PM

Agreement Section

Reservation Agreement(Required)

I am reserving a Town facility and understand that I am accepting responsibility for usage of the shelter and/or field and will be liable for the cost of clean-up and/or any damages incurred as a result of this activity. I understand that law enforcement and town staff have the final authority to end any rental due to disregard of park rules, violations of the law or unsafe activities. If my rental is ended for the reasons outlined above, I understand that I am not entitled to a refund of the rental fees.

I have read the park rules and this agreement. I will follow all park rules & regulations.

Copy of Driver's License(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Signature

Reservation & Payment Section

Indicate the shelter number and the hours you want to reserve that shelter. Please read carefully. NOTE: to deselect a previously chosen item choose “none” or “no full day rental”.

Full Day Reservation Request

Reserve the requested area from 10 a.m. to 7 p.m.

No Full Day Rental

Full Park Rental (1 day) – $1,000.00

Shelter 1 Full Day – $120.00

Shelter 2 Full Day – $120.00

Shelter 5 Full Day – $120.00

Shelter 4 Full Day (no restrooms) – $70.00

Full Day: Add an Additional Hour – $10

Please indicate if you want additional hours here.

Additional hour before 10 a.m.

Additional hour after 7 p.m.

Shelter 1 Rental

Please indicate whether you want to reserve the shelter for morning or evening.

None

10 a.m. to 2 p.m. $60

3 p.m. to 7 p.m. $60

Shelter 1: Add an Additional Hour – $10

Please indicate if you want additional hours here.

Additional hour before 10 a.m.

Additional hour after 7 p.m.

Shelter 2 Rental

None

10 a.m. to 2 p.m. $60

3 p.m. to 7 p.m. $60

Shelter 2: Add an Additional Hour – $10

Please indicate if you want additional hours here.

Additional hour before 10 a.m.

Additional hour after 7 p.m.

Shelter 5 Rental

None

10 a.m. to 2 p.m. $60

3 p.m. to 7 p.m. $60

Shelter 5: Add an Additional Hour – $10

Please indicate if you want additional hours here.

Additional hour before 10 a.m.

Additional hour after 7 p.m.

Shelter 4 Rental

Shelter 4 – no restrooms

None

10 a.m. to 2 p.m. $35

3 p.m. to 7 p.m. $35

Shelter 4: Add an Additional Hour – $10

Please indicate if you want additional hours here.

Additional hour before 10 a.m.

Additional hour after 7 p.m.

Total Reservation Fee

Please review your reservation information carefully before submitting your payment. If total is not correct, please review your choices above to be sure you are only selecting the shelter rental you want. NOTE: to deselect a previously chosen item choose “none” or “no full day rental”.

Payment Method

Please check to be sure all the required fields are completed and then pay using your Visa or MasterCard. You may also choose PayPal.

PayPal CheckoutCredit Card

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

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