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2. Date & Time*
   Date & Time

   Date & Time
4. Person Reporting Issue:*
6. Park *
   -- Select One --BrightbillAutumn OaksBlue RidgeCentennialForest HillsGeorgeHappy TailsHeroes GroveHodges HeightsHockerHurleyKings CrossingKohlKoonsLamplightLingleMeadowbrookOak Park TrailPaxtoniaRangerStray Winds

   Please select the park where the issue occurs.

8. Issue*
   -- Select One --Broken EquipmentDog IssueDowned TreeExcessive TrashGraffitiIllegal DumpingLandscape IssueLightingOtherPlaygroundSafety ConcernVandalismWater Leak

   Please identify the problem or issue from the dropdown menu.

10. Location*
    -- Select One --Open FieldBaseball FieldBasketball CourtAmphitheaterBathroomsFootball FieldHockey PavilionParking LotPickleballPlaygroundSoccerTennisTrailVolleyball

    Please identify the location within the park.

12. Description*
    Please add any additional details about the issue. If none, please type NA.
14. Upload Image
    Please upload an image of issue, if applicable.
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field