GROUP NAME: ________________________________________________
CONTACT PERSON: ___________________________________________
ADDRESS: ____________________________________________________
____________________________________________________
TELEPHONE NUMBER: _______________________________________
DATE OF EVENT: ___________ TIME _________/_________
(FROM) (TO)
____
Describe in detail the activity and in what manner you intend to
utilize the facility.
This reservation will be issued on
the condition that the applicant holds the Town of
I have read and understand the
information noted above and back of this application, and will be the
responsible party organizing the event.
SIGNATURE: _____________________________ DATE: ______________________
OFFICE USE ONLY
USAGE FEE __________ DATE PAID ___________________
CASH ____ CHECK #
_____________ RECEIPT # ________________
DEPOSIT
______________ DATE PAID _______________________
CASH _____ CHECK #
_______________ RECEIPT # ________________
DATE RETURNED
________________ SIGNATURE _________________________
PAVILION RENTAL
You must be 21 years
of age or older to rent the pavilion.
A separate payment
for clean-up deposit is required. The amount of this deposit is equal to the
usage fee. It will be returned to you providing pavilion and grounds clean-up
meets our expectations. Facility must be vacated by 7:00PM.
Hours of operation
are 11:00AM to 7:00PM.
The following is
included with your pavilion rental;
-Kitchen with deep
sink, range and refrigerator.
_BBQ pit.
PAVILION RATES
GROUP SIZE RESIDENT NON-RESIDENT
75 AND UNDER $60.00 $150.00
76-150 $100.00 $200.00
151-300 $150.00 $250.00
OVER 500- SPECIAL PERMIT REQUIRED FROM THE
TOWN BOARD, AND YOU MUST PROVIDE INSURANCE CERTIFICATE.
Excessive noise of
any kind which infringe on the rights of others who are patronizing the park
facility is not permitted and can result in termination of your event with no
refunds.
This application is
subject to approval of the park commission.
____ Approved
____ Disapproved
REASON FOR
DISAPPROVAL: