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2. Park Ambassador Inspection Report
   Thank you for submitting your monthly Park Ambassador Inspection Report. These reports assist department staff in identifying areas of concern. Please give special attention to park safety and amenities in need of repair. We appreciate your commitment to safe and accessible parks, which in turn enhances the quality of life and expands resources in our community.
4. First Name*
5. Last Name*
6. Date of Inspection
   Date of Inspection
8. Name of Park
   -- Select One --Back Creek Park Charles Brown ParkChisman Creek ParkKiln Creek ParkNew Quarter ParkWolf Trap Park
9. Number of Volunteer Hours
13. Court / Field Areas (Surfaces, nets, fenced area, dugouts, etc.)

    1. Courts / Fields are in good functioning condition
    2. Courts and/or field has flaws or needs attention
    3. Does not apply to park
14. Court / Field Comments
16. Upload picture of court / field issues
17. Upload picture of court / field issues
21. Playground: (Broken features, safety, etc.)

    1. All playground equipment is in good functioning condition
    2. Playground equipment have flaws / need attention
    3. Does not apply to park
22. Playground Comments
24. Upload picture of playground issues
25. Upload picture of playground issues
29. Picnic Shelters (Broken amenities, damage to roof, evidence of misuse, etc.)

    1. Picnic shelter(s) are in good condition
    2. Picnic shelter(s) have flaws / need attention
    3. Does not apply to park
30. Picnic Shelter(s) Comments
32. Upload picture of picnic shelter(s)
33. Upload picture of picnic shelter(s)
37. Restrooms (lighting, leaks, broken locks, etc.)

    1. Restrooms are in good functioning condition
    2. Restrooms have flaws / need attention
    3. Does not apply to park
38. Restroom Comments
40. Upload picture of restroom issues
41. Upload picture of restroom issues
45. Graffiti and Vandalism (Damage to trees, signs, signs of burning or public fires, etc.)

    1. There are new graffiti or vandalism issues to report
    2. No new graffiti or vandalism issues to report
46. Graffiti and Vandalism Comments
48. Upload picture of graffiti / vandalism issues
49. Upload picture of graffiti / vandalism issues
53. Suspicious Activity (abandoned vehicles, homeless camps, vehicle tracks throughout the park, etc.)

    1. There are no suspicious activities to report
    2. I have observed some questionable activity in the park
54. Suspicious Activity Comments
56. Upload picture of suspicious activity
57. Upload picture of suspicious activity
61. Lighting (burned out, broken, unlit, etc.)

    1. There are no issues with lighting to report
    2. There are issues with lighting to report
62. Lighting Comments
64. Upload picture of lighting issues
65. Upload picture of lighting issues
69. Trees (hazardous, fallen, unsafe, etc.)

    1. There are no tree issues to report
    2. There are concerns about the conditions of trees in the park
70. Tree Comments
72. Upload picture of tree concerns
73. Upload picture of tree concerns
77. Trash/Litter/Debris Removal (overflowing, litter areas, etc.)

    1. There are no trash concerns or issues
    2. There was litter and I addressed it
    3. There are trash and litter concerns beyond what I can address
78. Trash / Litter Comments
80. Upload picture of trash / litter concerns
81. Upload picture of trash / litter concerns
85. Parking lot areas (signage, abandoned vehicles, etc.)

    1. There are no concerns about the parking lot area
    2. There are concerns about the parking lot area
86. Parking lot Comments
88. Upload picture of parking lot concerns
89. Upload picture of parking lot concerns
93. Trails and Walkways (erosion, tripping hazards, etc.)

    1. There are no trail / walkway concerns
    2. There are trail / walkway concerns at the park
94. Trail / Walkway Comments
96. Upload picture of trail / walkway concerns
97. Upload picture of trail / walkway concerns
99. Amenities (fountains, benches, pots, waste receptacles, etc.)

    1. There are no amenity concerns
    2. There are flows/issues with amenities at the park
100. Amenity Concerns
104. Other Ambassador Comments / Observations
Leave This Blank:


106. 1. Receive an email copy of this form.
107. Email address

     This field is not part of the form submission.

108. Submit

* indicates a required field