Application for Use of the School House Name or Organization(required) Name and title of contact person(required) Address(required) Non-Profit Orgnaization Federal ID# Private/Commercial Organization Name of Public Place(required) Classroom Gym Gym and Kitchen Ball Field Other Date or Dates Desired (If application is for a weekly function, please state the beginning and ending dates)(required) Purpose of Use:(required) Number of Persons Expected:(required) Types of Activities to be Conducted (Please be complete & specific as each activity requires separte approval):(required) Time activity will start?(required) Time activity will end?(required) Will you be charging admission?(required) Yes No If yes, proceeds will go to: Any person issued a permit shall observe all rules, regulations and ordinaces adopted by the Plantation of Grand Lake Steam. Open fires are NOT permitted without prior written permission for the fire and burning material. The person to whom a permit is issued shall agree to be liable for any loss, damage, or injury sustained by any person or property whatsoever by reason of negligence on the part of any person engaged in the activity being sponsored under the permit and shall agree to hold the town and any of its agents, servants, and employees harmless from any and all losses caused by the permitee or any person engaged in activity being sponsored under the permit. Do you agree?(required) Yes No Submit Δ Share this:TwitterFacebookLike this:Like Loading...
