Village
Of Dansville Reservation Agreement
For The Facilities
In Village Parks
We
wish to use the following facility
|
Babcock
Park: |
Williams
Park: |
Elm
Street Park: |
|
____1
Hard Ball Field |
____13
Gazebo |
____23
Baseball Court |
|
____2
Men’s Softball |
____14
Basketball Court |
____24
Undefined Grass Area |
|
____3
Cinderella Softball |
____15
Horseshoe Court |
____25
Other (specify): |
|
____4
Basketball Courts |
____16
Wading Pool |
___________________________ |
|
____5
Tennis Courts |
____17
Skateboard Arena |
Central
Park: |
|
____6
Football Field |
____18
Undefined Grass Area |
____26
Undefined Grass Areas |
|
____7
Gazebo |
____19
Other (specify): |
____27
Other (specify): |
|
____8
Undefined Grass Area |
____________________________ |
___________________________ |
|
____9
Other (specify): |
Washington
Park: |
Little
League Park: |
|
___________________________ |
____20
Basketball Court |
____28
Baseball Field |
|
Church
Park: |
____21
Undefined Grass Area |
____29
Other (specify): |
|
____10 Gazebo/Bandstand (avail 7/1/02) |
____22
Other (specify): |
____________________________ |
|
____11
Undefined Grass Area |
____________________________ |
Other
Village Recreation Areas: |
|
____12
Other (specify): |
|
____30
Other (specify): |
|
|
|
____________________________ |
Day(s) and Date(s)
If
for a season or extended period, state the beginning and ending days:
From _________________________
to ____________________________
For ________________________________________________________
Name
of person to be in charge ___________________________________________
Beginning time would be
_____________ A.M. P.M. Area will be vacated by __________ A.M. P.M.
We
(would)(would not) charge an admission fee.
It
is understood that the reservation of facilities in village parks will be
available only by application to the Village Board or its designated agent. If
permission is granted, the user agrees:
Name of Organization, Person
Or Group
By
________________________________ ________________________________
(signature) (capacity/title)
___________________________ ___________________________
(address) (phone
number)
If
approved, this request is subject to the following conditions, if any:
If
disapproved, reason being:
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Copy sent Signed:
____________________________________
Dated: ____________________________________
No.__________________________