Veterans Park permit application

Complete the application below and select the Submit button. The information you provide will be automatically sent to the town. A town representative will then contact you.

For complete details about this form click here.

Name of Organization, if applicable

Name of Applicant *

Home Phone Number *

Cell Phone Number

Work Phone Number

Email Address *

Street Address *

Dates Needed

Date(s) permit needed (mm/dd/yyyy) *

Arrival Time

Departure Time Leave enough time to clean up prior to your departure. Leaving after the scheduled departure time will trigger the alarm to the Sheriff's Department. If the alarm is tripped due to your late departure, your $50.00 deposit will be forfeited.

Main Contact

Purpose of use

Contact/Individual name present during entire scheduled time

Contact's phone number

Contact's mailing address

Use Requirements

Veterans Park Building

Kitchen Facilities

If selected, which kitchen facilities do you need to use? (refrigerator, sink, etc.)

Playing Fields

If selected, which fields do you need to use?

Anticipated attendance

Will alcoholic beverages be consumed?

Yes

If Yes, enter the number of guests

Type (Ex. Beer, Wine, Liquor)

As applicant or on behalf of the applying organization, I agree that all attendees during out use/event will observe the rules as stated. I agree to pay any costs, including but not limited to fees, damages, loss and/or cleaning services, which arise out of our use of the property. I acknowledge and assume any risks associated with the use of Veterans Park property and I agree to indemnify the Town of East Bloomfield against any property damage, bodily injury or lawsuits.

Draw your signature in the space below using a mouse, stylus, or your finger.

Check this box to attest that this application is your own and the information it contains is as accurate as possible.