Rec and Roll Form

Meck Rec and Roll Van Request Form

Park and Recreation
Mecklenburg County Park and Recreation strives to connect our communities by providing recreational opportunities to the public. We would love to expand our educational outreach at events, schools and other community spaces.

The Meck Rec and Roll van features games including cornhole, Jenga and Connect Four, as well as, athletic opportunities such as soccer, pickleball and other ways to play! Park and Recreation staff will be on site throughout the event and will bring the van to you.

If your organization is planning a community gathering and would like to request the Meck Rec and Roll Van, please complete the form below. Please submit this form at least 30 days prior to your event. All services are based on availability. We will consider events occurring in less than 30 days on a case-by-case basis.

If you need assistance filling out this form, or for this form to be provided in an alternative format, please contact RecNRollVan@MeckNC.gov
Organization name (Please enter your organization name)
Which type is your organization?

Other
Name

First NameLast Name
Email Address
example@example.com
Phone Number
area codeFormat: (000) 000-0000.
Preferred Method of Communication
If multiple organizations are applying together, please list the names of the other groups, agencies, and organizations that are part of this request. The contact information above will be used as the lead organization.
Other groups, agencies and organizations that are part of the request
name of other groups, agencies, organizations
Event Date, Time, Location:
If you are still planning your event, enter “TBD” for any details that are still to be determined.
Event Name
Event Date

MonthDayYear
Event Start Time

Hour Minutes

AM/PM Option
Event End Time

Hour Minutes

AM/PM Option
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County where event will take place
Event Planning
Expected number of attendees
Which age group does your organization primarily serve? (select all that apply)
Expected number of volunteers
Describe the event space (This helps us understand the functionality of the opportunities that we can provide).
How did you hear about the Meck Rec and Roll Van?
Thank you for your interest in partnering with Mecklenburg County Park and Recreation to bring recreation to your community! After you submit this form, a member of the Park and Recreation team will contact you within one week. All services are based on availability. For assistance, please contact RecNRollVan@MeckNC.gov.
Should be Empty:

Meck Rec and Roll Van Request Form

Event Date, Time, Location:

Event Planning