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2. First Name*
3. Last Name*
5. Date of Inspection *
   Date of Inspection
6. Number of Volunteer Hours
8. Name of Park*
   -- Select One --Warren County Recreation ComplexMagnolia Ernest Recreation ParkBuck Spring ParkRotary Park
10. Court/Field Areas Inspection

    1. Courts/Fields are in good functioning condition
    2. Courts and/or field has flaws or needs attention
    3. Does not apply to park

    (Surfaces, nets, fenced area, dugouts, etc.)

11. Court/Field Area Comments
13. Photo of court/field issues

    Upload a picture of court/field issues

14. Photo of court/field issues

    Upload additional picture of court/field issues

    
    

16. Playground Inspection

    1. All playground equipment is in good functioning condition
    2. Playground equipment have flaws / need attention
    3. Does not apply to park
17. Playground Comments
19. Photo of playground issue

    Upload a picture of the playground issue

20. Photo of playground issue

    Upload an additional photo of the playground issue

22. Picnic Shelter(s)

    1. Picnic shelter(s) is in good condition
    2. Picnic shelter(s) have flaws/need attention
    3. Does not apply to park

    (Broken amenities, damage to the roof, evidence of misuse, etc.)

23. Picnic Shelter(s) Comments
25. Photo of picnic shelter issue

    Upload a picture of the picnic shelter issue

26. Photo of picnic shelter issue

    Upload an additional photo of the picnic shelter issue

28. Restrooms

    1. Restrooms are in good functioning condition
    2. Restrooms have flaws/need attention
    3. Does not apply to park

    (Lighting, leaks, broken locks, etc.)

29. Restroom Comments
31. Photo of restroom issue

    Upload a picture of the restroom issue

32. Photo of restroom issue

    Upload a photo of the restroom issue

34. Vandalism and Graffiti

    1. There is new vandalism to report.
    2. There is no new vandalism to report.

    (Damage to trees, signs, signs of burning/public fires, etc.)

35. Vandalism Comments
37. Photo of vandalism

    Upload a picture of the vandalism issue

38. Photo of vandalism

    Upload an additional photo of the vandalism issue

40. Suspicious Activity

    1. There are no suspicious activities to report.
    2. I have observed some questionable activity in the park.

    (Abandoned vehicles, homeless camps, vehicle tracks throughout the park, etc.)

41. Suspicious Activity Comments
43. Suspicious Activity Photo

    Upload photo of suspicious activity 

44. Suspicious Activity Photo

    Upload photo of suspicious activity 

46. Lighting

    1. There are no issues with lighting to report.
    2. There are issues with lighting to report.

    (Burned out, broken, unlit, etc.)

47. Lighting Comments
49. Photo of lighting issue

    Upload a photo of the lighting issue

50. Photo of lighting issue

    Upload an additional photo of lighting issue

52. Trees

    1. There are no tree issues to report.
    2. There are concerns about the conditions of trees in the park.

    (Hazardous, fallen, unsafe, etc.)

53. Tree Comments
55. Photo of tree issue

    Upload a photo of the tree issue

56. Photo of the tree issue

    Upload a photo of the tree issue

58. Trash/Litter/Debris Removal

    1. There are no trash concerns or issue.
    2. There was litter, and I took care of the litter issue.
    3. There are trash and litter concerns beyond what I can handle on my own.

    (Overflowing, litter areas, etc.)

59. Trash/Litter/Debris Comments
61. Photo of litter/trash/debris

    Upload a photo of the issue here

62. Photo of litter/trash/debris

    Upload an additional photo here

64. Parking Lot Areas

    1. There are no concerns about the parking lot area.
    2. There are concerns about the parking lot area.

    (Signage, abandoned vehicles, etc.)

65. Parking Lot Comments
67. Photo of parking lot issue

    Upload a photo of the parking lot issue here

68. Photo of parking lot issue

    Upload an additional photo of the parking lot issue 

70. Trails & Walkways

    1. There are no trail/walkway concerns.
    2. There are trail/walkway concerns at the park.

    (Erosion, tripping hazards, etc.)

71. Trail/Walkway Comments
73. Photo of trails/walkways issue

    Upload a photo of the trails/walkways issue here

74. Photo of trails/walkways issue

    Upload photo of the trails/walkways issue here

76. Amenities

    1. There are no amenity concerns.
    2. There are flows/issues with amenities at the park.

    (Fountains, benches, pot, waste receptacles, etc.)

77. Amenity Comments
79. Photo of amenity issue

    Upload a photo of the amenity issue here

80. Photo of amenity issue

    Upload an additional photo of the amenity issue

82. Other ambassador comments/observations
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84. 1. Receive an email copy of this form.
85. Email address

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86. Submit

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