Accommodation Request

The Division of Recreation and Parks is committed to making all reasonable efforts to ensure that its facilities, programs and services are accessible to, and usable by, all people, including those with disabilities. If you require an accommodation in order to participate, please submit the form below.

All fields marked with an asterisk (*) are required to submit your message.

Contact information (Person requesting ADA accommodations)

The information you provide below is used only to contact you if necessary concerning your request for reasonable accommodation due to disability. Your information is not provided to anyone nor for any reason. For further information, please read our privacy policy.

First Name: * Last Name: Email: * Phone Number:

Address: City: State: Zip:

Contact information (Person being accommodated, if different)

First Name: Last Name: Email: Phone Number:

Address: City: State: Zip:

Accommodation information Park Name: Name or Type of Activity: Location of Activity:

Activity Date: (ex. 01/13/2010) Time: (ex. 09:00am)

Please describe your request for reasonable accommodation due to disability. Please include your suggestions for how to best accommodate your request.