City of Hot Springs Form Center

2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Email*
15. Area Code & Phone Number*
    (000) 000-0000
16. Driver's License Number
    Number/Expiration Date
20. Dates requested for this permit fulfill the requirement which states that an appropriate cache may be placed at an approved site in a city park for 12 months.*
    Dates requested for this permit fulfill the requirement which states that an appropriate cache may be placed at an approved site in a city park for 12 months. Start Date

    —

    Dates requested for this permit fulfill the requirement which states that an appropriate cache may be placed at an approved site in a city park for 12 months. End Date
22. Cache Name*
    Please provide the name of your cache.
23. Cache Code
    Please provide cache code if applicable.
25. Cache GPS Coordinates*
    Please provide GPS coordinates for your cache.
26. Type of Cache*
    Size: Nano, Micro, Small, Large; and Type: Traditional, Mystery, Earth, etc.
28. Physical Description of Area*
30. Physical Description of Container*
34. Photos provided by cache owner or Parks Superintendent

    1. Photo of proposed cache and container
    2. Photo of requested geocache site
35. Attach Photos
37. The cache I request to place is (check all that apply)

    1. Is in a non-breakable container.
    2. Does not contain inappropriate or dangerous items.
    3. Will not be buried or placed in a protected area, but placed in an area approved by the Parks Superintendent.
39. I hereby agree to adhere to the City of Hot Springs Parks and Trails Department Policy for Geo-caching. In addition, the City of Hot Springs shall assume no responsibility whatsoever for the loss or damage to the permit holder’s property or injury of the permit holder from any cause. The permit holder agrees at all times to indemnify, protect, and save harmless the City of Hot Springs, its agents, and employees from liability in connection with the permit holder’s property and/or operation under this permit.
43. Renewal Instructions
    Permits may be renewed for two additional years for a total of three years before a new application is necessary. Please call the Parks Maintenance Office, 501-262-1519, to request a renewal of your permit. You will need the cache name, GPS coordinates, and permit number.
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field