Highlands Golf Park
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434-985-2765
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Group Outing Request Form
Please complete all required fields!
Name of Organization
*
Please tell us the name of your organization.
Contact Person
*
Please tell us the first & last name of the contact person.
Contact Phone
*
Please tell us your phone number (123-456-7890).
Contact Email
*
Please let us know your email address.
Party Date/Time
*
Please tell us the date and time of your party. (allowed 2 hours)
Select Activities for Event
*
Mini Golf
Driving Range
Combo
Please select the type of birthday party activities you would like.
Number of Persons Expected for Party
*
Please enter the expected number of guests.
Age Range of Guests
*
Please tell us the age range of persons attending the party.
Space Requested
*
Use of Patio (outdoor covered/sheltered section) = 4 picnic tables
Use of Indoor Meeting Room (heated and/or air conditioned) = accommodates up to 16 people
Use of Tents for Outdoor Space (each tent covers 10' x 10') = 2 tents available
Please tell us which space you are interested in using for your event.
Any Additional Requests?
Please list any additional requests here.
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