Form Center

Palouse to Cascades State Park Trail use permit

2. Washington State Parks and Recreation Commission

4. Permit Application (must be completed 15 days in advance)

6. Name or group name:

8. Group size

9. Contact person

11. Address

12. City

14. State

15. Zip code

17. Phone number

18. Email address

20. Date of use (start and end date)

21. Purpose of use

23. Starting location

24. Ending location

26. Traveling by (select one)

    1. foot
    2. horse
    3. wagon
    4. bicycle
    5. other

27. If other, please explain

29. Permit application notes
    <ul> <li>Washington State Parks may require a certificate or other proof of liability insurance coverage before approving this permit.</li> <li>Use is restricted to a line 20 feet either side of the center line running surface or a fence line, whichever comes first.</li> <li>Leave all gates as found. A key and/or combination may be issued for gates.</li> <li>Permits will be revoked for any violation.</li> </ul>

    • Washington State Parks may require a certificate or other proof of liability insurance coverage before approving this permit.
    • Use is restricted to a line 20 feet either side of the center line running surface or a fence line, whichever comes first.
    • Leave all gates as found. A key and/or combination may be issued for gates.
    • Permits will be revoked for any violation.

31. Agreement
    I will read and follow the rules and regulations for use of the Milwaukee Road Corridor on this permit and any other attachments designated by Washington State Parks. <br/><br/> Permittee assumes the risk of all natural and artificial conditions on this undeveloped corridor. Permittee also agrees to defend and indemnify the state and its lessees and be liable for all claims, costs or damages arising out of permitee's use of the corridor.

    I will read and follow the rules and regulations for use of the Milwaukee Road Corridor on this permit and any other attachments designated by Washington State Parks.
    
    Permittee assumes the risk of all natural and artificial conditions on this undeveloped corridor. Permittee also agrees to defend and indemnify the state and its lessees and be liable for all claims, costs or damages arising out of permitee's use of the corridor.

33. Applicant's electronic signature

34. Date

36. 

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field