E-Gov Services Bound Brook

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Facility Use Permit Application

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Bound Brook Recreation Commission
BOROUGH OF BOUND BROOK
230 Hamilton St. Brook, NJ 08805
● 97320 356-0833 ● Fax: (732) 356-8990
www.boundbrook-nj.org

* Information is required.

FACILITY USE PERMIT APPLICATION

Facility requested (e.g, field/park/recreation center):

Day Requested(s):

Date(s) requested:

Time(s) (included setup/breakdown):

If schedule is flexible, state requirements in general terms, e.g, "two nights/week; any night, 5pm to 8pm."

Name of applicant group:

Name of representative:

Relationship to group:

Address:

City:

State:

Zip Code:

Phone (day):

Phone (evening):

Email:

Purpose of Event: Athletic Event

Type of Sport:

Other (Describe Activity):

Number of participants:

Age range:

No. of Spectators: (Estimate)

Special equipment requested (if any): - Note: Additional fees may apply

Other Instructions:

Prior to issuance of a permit, all applicants must:

Submit Certificate of Insurance as proof of $1,000,000 general liability insurance with Borough of Bound Brook named as certificate holder and additional insured
Submit executed Waiver and Indemnification
Submit payment of all applicable fees for use of facility - See Appendix E of Recreation Policy for payment option.
Obtain any other permits/licenses/approvals as may be necessary for activity (e.g., police/fire personnel standby).

On behalf of the applicant group named above, the undersigned acknowledges receipt of applicable Recreation Commission policies, rules and regulations governing the use of the above-requested facility, and agrees to be bound by and comply with same. Violations of Recreation Commission's policies, rules and regulations may be cause for suspension or revocation of any permit issued.

Signature of applicant's authorized representative:

Date:

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* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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