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2. Requester First Name*
3. Requester Last Name*
5. Organization Name:*
7. User Type: *

   1. A. Town Departments, Committees, Boards and Commissions
   2. B. Political Subdivisions
   3. C. Town Sponsored Groups or Activities
   4. D. Town Sanctioned Groups or Activities
   5. E. Elected State and Federal Officials
   6. F. Local Civic, Fraternal, Professional, Political, and Sports Organizations
   7. G. Local Non-Profit Organizations
   8. H. Local Residents
   9. I. Out-of-Town Non-Profit Organizations

   Please see the full description of the user types listed above. 

9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address*
20. Event/Activity *
22. Equipment to be Used *
24. Anticipated Attendance*
26. Fundraising Event?*
    -- Select One --YesNo
27. Fees Charged for Event?*
    -- Select One --YesNo
28. Event Open to Public?*
    -- Select One --YesNo
30. Start Date*
    Start Date
31. End Date*
    End Date
33. Requested Time Slot(s) *
35. Requested Facility *

    1. Recreation Buidling-Gymnasium
    2. Recreation Building-Conference Room
    3. Recreation Building-Office
    4. Recreation Building- Multi Purpose Field
    5. Sarette Lower Field
    6. Sarette Game Field

    1. Sarette Football Field
    2. Louis Street Baseball Field
    3. Roy Park Softball/Multi-Purpose Field
    4. Barnard Park Football Field
    5. Barnard Park Track
    6. Tennis Court(s)

    This form is only for Parks and Recreation facilities. Please see pricing details in above webpage. 

    To request a pavilion at one of the parks, you will need to fill out a pavilion request form. 

39. Signature:*
40. Date*
    Date

42. By signing this form, the user agrees that they have read and understand all terms spelt out in the policy. 

    The user also agrees and understands that filling out this form DOES NOT guarantee use of the requested facility. A member of the Parks and Recreation staff will review the request and reach out to the requester. For all facilities, a certificate of insurance will be required. Depending on the nature of the request, an event permit through the town may be required. 

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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field