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2. Geocache Permit Request
   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