Geocache Permit Request

2. Geocache Permit Request
   Please fill out all fields. You will be contacted once permit is approved.

   Please fill out all fields. You will be contacted once permit is approved.

4. Applicant Information

6. Full Name (Last, First MI):*

8. Street Address:*

10. City:*

11. State:*

12. Zip Code:*

14. Home Phone:

15. Cell Phone:*

16. Email Address:*

18. Geocache Information

20. Name of Park Requested*

21. Website Referencing Cache*

23. Cache Name & GC Number*

24. Cache GPS Coordinates*

26. Physical Location Description*

28. The Cache I have placed:*

    1. 1. Is in a non-breakable container
    2. 2. Does not contain inappropriate or dangerous items
    3. 3. Is not buried or placed in a protected area, but placed in an area approved by Parks & Recreation

30. Electronic Signature*

    By typing your name & clicking the checkbox, the applicant agrees to abide by the York County Parks & Recreation Geocaching Policy.

    1. Check Box to Accept
32. Type Name*

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field