APPLICANT INFORMATION * = Required
Name * Organization *
Mailing Address * Physical Address *
Telephone Day * Telephone Night *
Telephone Day or Night
Email * Verify Email *
Additional Contacts
EVENT DETAILS
Date(s) of Event(s)
Nature of Event Other Approximate Number of People at Event
Title of Event
Event Open to Public Fee Charged to Participants
Outdoor Event ONLY (Not using the building) Complete event date, start time & end time only.
CLEANING Name of Company/Group
Cleaning Date Cleaning Time
ACTIVITIES
Music Yes
OUTDOOR USE (Subject to conditions and availability)
BOUNCE HOUSES ARE NOT AUTHORIZED
Lawn Deck Outdoor Chairs
FOOD SERVICE Yes
BEVERAGES
Alchohol ($100.00 charge) Yes
Beverages Sold Yes
If sold, the FNSB recieves % of sales.
Caterer Yes
SPEAKER/LECTURER Yes
Failure to provide the information requested above be grounds for automatic rejection of the reservation. Parks and Recreation must be advised of any changes to the schedule or nature of the event and any changes may require re-evaluation of the reservation request.
If Parks management, either directly or through their authorized agent, reasonably request that a public facility user alter their activity for the benefit of the public and/or other users of the facility, the user group must comply with the request of the borough to cancel the event and/or retain the Permittee's security deposit.
ALL RESERVATIONS ARE TENTATIVE UNTIL APPROVED BY PARKS AND RECREATION MANAGEMENT.
EQUIPMENT AVAILABLE
40 Tables (20 - 6' Banquet and 20 - 5' Round)
# of Banquet # of Round
300 Chairs # of Chairs
Projector Screen Yes
In-House Sound System Yes
2 Microphones With Stands
Without Stands
Tabletop Stands
Additional Equipment
We may be able to help out with items that may not be listed. Please ask.
SECURITY SERVICES
Additional security may be requested per contractual terms; See Park Administration Office for explanation.
INSURANCE
Certificate of Insurance Required. Level Limits
Insurance is not required for events not open to the public. (exceptions are Weddings, Birthday Parties, etc.)
I (We) have read and completed the Birch Hill Cross Country Ski Center Special Event Request Form and noted those items and services my user group/organization will need. I (We) understand that completion of this form is the basis for my (our) User Agreement and that any changes may require re-evaluation of my (our) reservation request.
I agree to the above statement Yes Date