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2. Contact Info
4. First Name
5. Last Name
7. Address1
9. City
10. State
11. Zip
13. Email
14. Phone Number
18. Park Name
    -- Select One --Live Oak ParkTemple City Park
19. Please select option(s) that best describe the location(s) of needed repairs.

    1. Public Restroom
    2. Lawn/Sports Fields
    3. Planters
    4. Lighting

    1. Tennis Courts
    2. Basketball Courts
    3. Picnic Shelters
    4. Playground

    1. Park Furniture
    2. Trash Cans
    3. Pavilion / Bandstand
    4. Other
20. Please describe the issue and identify the location of needed repairs.
22. Photos (optional)
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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