Town Park Use Application

Town of Schodack - Use of Facility Application

Today's Date: ______________ 
	
Date(s) Requested: ___________________________

Facility Requested: ____________________________________________

INFORMATION ABOUT YOUR GROUP

Name of Organization
 orIndividual: _________________________________________

Time:  _________________ to _________________.

Your supervisor in charge: _________________________________________

Mailing Address:________________________________________________________
 
                _____________________________________________________

Telephone: (Day) ________________   (Night) _________________


INFORMATION ABOUT YOUR INTENDED USE OF TOWN OF SCHODACK  FACILITIES

Purpose of Use:




Total Participants Expected: _______Adults: ______Children: ______ 

Is material or equipment required from Town? Yes _____ No _____


If needed, state what 
types and for what purpose: ______________________________
 

Will an admittance fee be charged?  Yes _____ No _____
   
If so, what will 
proceeds be used for? ________________________________________

AGREEMENT

The undersigned is over 21 years of age and has read this facility use
application and attached facility use regulations and agrees to comply
with them. The applicant agrees to be responsible to the Town of
Schodack for the use and care of the facilities.  The undersigned does
hereby covenant and agree to defend,  indemnify and hold harmless the
Town of Schodack from and against any and all liability, loss, damages,
claims, or actions (including costs and attorneys fees) for bodily
injury and/or property damage, to the extent permissible by law, arising
out of or in connection with the actual or proposed use of Town of
Schodack property, facilities and/or services by the applicant.


Approved: ____________________________________

Date: __________________________
(Town Clerk/Deputy Clerk)

Amount of Rental Fee Submitted

Check_____________Cash____________Receipt No._____________

The use of all Town Facilities shall be subject to the approval of the
Town Supervisor. 

READ ATTACHED REQUIREMENTS AND RETURN APPLICATION TO:
Donna L. Conlin, Town Clerk
P.O. Box 436,
East Schodack, NY 12063

FACILITY USE REGULATIONS  

1.  Organizations wishing to use municipal facilities shall first
apply to the Town Clerk on the prescribed form.

2.  In the event of inclement weather, the Town Supervisor has the
final authority on whether facilities are usable.  

3.  Intoxicants shall not be brought into Town facilities at any
time.

4.  All posted rules must be adhered to.  (See attached for Town
Park rules)

5.  Profanity, objectionable language, disorderly acts or illegal
activities of any kind are absolutely prohibited, and those violating
this prohibition will be ejected from the premises.

6.  Any damage to municipal facilities shall be promptly repaired at
the user's expense.  No exceptions.  If maintenance personnel are not
available, make sure all doors are locked and lights are turned out when
leaving.  

7.  Organizations using the facilities must clean up afterwards.

8.  Permits may be revoked at any time.

9.  Any organization with youth less than 18 years old requires the
presence of adequate adult supervision at all times.

10. The emergency telephone number for police is 911 ; fire 911.

11. The number of people in the Town Hall facility shall not exceed
the posted maximum capacity.
 
12. Fees: 
Resident pavilion fee for weekend and holidays		$  50.00
Resident weekday pavilion fee			        $  25.00
Non-resident pavilion fee - Any day                     $ 100.00

Cancellations- one-week or more advance notice - full refund   
Less than one week will be a charge of                  $  25.00

13.	The use of the Town Park Pavilion shall be accompanied with the appropriate fee. 

FAILURE TO COMPLY WITH FACILITY USE REGULATIONS WILL RESULT IN
REVOCATION OF YOUR PERMIT

____________________________________________
Signature of Individual or Organization's Representative

Address: ______________________________

         ______________________________
 
Telephone Number: _________________

Fax: __________________________________

E-Mail:__________________________________________________


Information and Emergency Contact:	Angie DeFrancesco	Cell: 376-3916


SCHODACK TOWN PARK RULES AND REGULATIONS


*  Park Hours: 8:00 a.m. to Dusk.
*  10 mph speed limit on park roads.
*  Carry in, carry out - dispose of trash.
*  Fires in cooking grills only.
*  All dogs are to be leashed while in the park.
*  Pet owners are responsible for "scooping."
*  No motorized recreational vehicles allowed.
*  No guns or weapons of any type allowed.
*  No skateboards allowed.
*  No water balloons allowed.
*  No alcoholic beverages allowed.
*  Improper conduct will result in immediate removal from park.
*  No cutting of trees by the public
*  The Town is not responsible for lost or stolen property.
*  Vandals will be prosecuted.
*  Park activities are at your own risk. 
*  Parking in designated areas only.
*  Parking for (2) TWO CARS ONLY at the pavilion Route 150 entrance.  
(This entrance is for loading and unloading only of heavy items and
special handicap needs).  

Adopted by Town Board resolution [2001-163] May 10, 2001 and Amended by
resolutions [2004-457], [2005-074] and [2007-483].