Town Green Park Permit Application

1. All fields are required. Do not leave any questions blank. Use N/A if a question does not apply.

2. Town Green Park Permit Use
   Permit Use Policy

3. Applicant or Organization*

4. Contact for Organization*

5. Mailing Address*

6. Street Address*

7. Phone Number*

8. E-mail Address*

10. Date of event*

11. Time*

12. Number of participants*

13. Purpose of event*

15. Will tents be used?*
    1. Yes
    2. No

16. How many?*

17. Tent dimensions*

18. Describe the planned location of tents*

    Use the map to the right as a guide

19. Town Green Park
    Map

20. Will you need electricity?*
    1. Yes
    2. No

21. If yes, please describe your requirements*

23. Will portable restrooms be provided?*
    1. Yes
    2. No

24. How many?*

25. Describe the planned location of portable restrooms.

    Use the map to the right as a guide

26. Town Green Park
    Map

28. Will inflatable structures be used?*
    1. Yes
    2. No

29. How many?*

30. Describe the planned location of the inflatable structures

    Use the map to the right as a guide

31. Town Green Park
    Map

33. Will concessions be present?*
    1. Yes
    2. No

34. Will the concessions be for sale or free?*
    1. For sale
    2. Free

35. Describe the planned location of the concessions

    Use the map to the right as a guide

36. Town Green Park
    Map

37. Purpose of the concessions?

    Who is selling or giving the product? Where is the money going?

39. Has a health permit been obtained?*
    1. Yes
    2. No

40. Will signs or banners be used?*
    1. Yes
    2. No

41. Where will participants park?

42. Have you received authorization for participants to park here?
    1. Yes
    2. No

43. Will there be security personnel for this event?*
    1. Yes
    2. No

44. Name of entity providing security*

45. Town Green Park Liability Agreement
    Liability agreement

    Please read

46. I have read the liability agreement
    1. I agree
    2. I do not agree

Leave This Blank:


47. 1. Receive email copy
48. Email address

49. Submit Submit and Print

* indicates a required field