Township Facilities Request – Wantage Township

NOTE: This form is NOT for the Pavilion rental. Please use the Pavilion Request form for the Pavilion.

Application for Use of Township Facilities

Step 1 of 2

Name of Organization(Required)

Authorized Contact Person(Required)

Contact Mailing Address(Required)

Contact Email(Required)

Contact Phone(Required)

FAX

Date Requested(Required)

Month / Date / Year

Number of Hours Requested(Required)

Some facilities have a maximum time limit.

Time from(Required)

(example 8:30 AM)

Time to(Required)

(example 11:30 AM)

Playing Fields, Areas, or Locations Being Request for Use:

Facilites requested located at:(Required)

Lott Road Municipal Park

Woodbourne Park

Papakating Park

Main Meeting Room at Municipal Building

Other

At the Municipal Park located off Lott Road, the following field(s) or areas:

At Woodbourne Park, the following field(s) or areas:

At Papakating Park, the following field(s) or areas:

Other (please explain)

Will you be charging admission for this event?(Required)

Yes

If yes, how much?

If yes, the proceeds will benefit:

Name(s) of Liability Insurance Carrier(Required)

Amount of Liability Insurance(Required)

Additional Information

If you would like to provide additional information about the purpose of using the facility, please enter the information here.

Hold Harmless Agreement:For and in consideration of the use of the Wantage Township parks and sports fields, the applicant agrees to save and hold harmless the Township of Wantage, its servants, agents, employees or any subdivision thereof, from any and all liability or costs arising out of the use of these premises or property by the applicant, the applicant’s invitees, or other persons present at the time of the applicant’s use of the premises.

The applicant specifically agrees that this indemnification and hold harmless agreement shall include the responsibility to provide legal defense for the Township of Wantage and for any suit arising out of the applicant’s use of the premises and that should the applicant’s insurance carrier fail or refuse to provide such a defense, the applicant will reimburse the township for any costs incurred by it for any person or organization acting on its behalf. We agree to this agreement. We have read the rules regarding facility and responsibilities of permit holder and will abide by them. Applicant signifies that he/she has read and will abide by the rules governing the use or the facilities and grounds outlined in this application and the policy of the Recreation Commission. The signatures below represent acceptance of these regulations, and an agreement to abide by them.

Signature(Required)

President or Authorized Representative

Name of Authorized Representative(Required)

Date of Request(Required)

For official use only
Approved on the date of ______________________ by ________________________________________

Wantage Township Facility Permit Policy

Applications for Facilities Use

Group leader or authorized representative shall complete a facilities request form, photocopy the signed copy on behalf of the applicant and return the original signed copy to the Recreation Commission or Township Administrator

Issuing of Permits by the Township

Township residents and organizations are given top priority for consideration of approval. Permits may be issued with time limitations noted, if need be, to accommodate a number or requests. The Township also reserves the following rights:

To witness proof of residence of applicant wishing to obtain permit
To require a cash bond deposit as security
To require the applicant to employ special officer(s) for traffic or crowd control.

Rules Regarding Facility Usage

While using a park facility, no person shall:

Disfigure or remove any park property.
Consume or have in their possession alcoholic beverages.
Litter facility grounds.
Park vehicles in other than designated areas.
Bring or have in possession fireworks and/or explosives.
Build or attempt to build fires in areas other than those designated, except barbecue grills.
Conduct themselves in disorderly fashion.

Violation of any or all of the above rules will result in denial of future facility requests.

Responsibilities of Permit Holder

To relinquish use of the facility at stated time on permit.
To have a copy of original approval readily available for display upon request.
To be aware of Township ordinances and abide by them.

Permits

Permits requested for games will be given priority over those for practices
Games shall be played with the intent of ending within two hours.
Permits issued for practices will have a two hour time limit, and may be slotted into given time periods if needed to accommodate requests.

Signature of Authorized Organization Representative(Required)

On behalf of the organization I attest that I have read the policy and that the organization agrees to abide by the Facility Permit Policy.

Name of Authorized Representative(Required)

Date(Required)

This field is for validation purposes and should be left unchanged.