Dutchess County Board of Elections (3) FOR IN i rRN'AL USE ONLY Town of Wappi ger
Received by.- Joseph F. Paoloni Agreement for the Use of the Town
Grace Robinson 'i � Facilities for Meetings
Date Received:
Serial #: JUT 0 Z016
✓�
fl i t �1 Qo.o6-- -_EiceitDWN C F WAPP'INGER
;) e Recreation (date: m � ) TOWN CLERK
Agreement for the Use of the Town Fall Facilities for Meetings
, , - tw '
Name of Organization or Group
Name of person rcpresentipu rl,,f,Orgami Jon or group
L� �. .r �_ � e a�'�� I 1(962-y-� "7 --2�°y(7
Address Phone. o.
This will confirm the arrangements being requested for your groups' use of the Wappinger Town Mall Facilities, as
noted below:
( ) Senior Citizens Room
Large Meeting Room
( ) Other: specify:
The groupis not expected p to exceed �t persons
Date(s): �fiyG(u�:, ,( u ;; ryy Time: .` C�• r r/r //x f/dytpa
It should be understood that groups using the Buildings' Facilities for evening meetings must select da
when
Town.Meetings are normally scheduled (i.e., Justice Court, Planning Board, etc.) Special requests will be
considered upon their own merit, and arrangements can be made for access to, and closing, the building at the close
of your meeting.
You and your Organization hereby agree:to adhere to the rules set forth on the attached page by signature of an
authorized member of your Organization or group.
The Town of Wappinger reserves the right to suspend temporarily this agreement should the Town have need of the
facility for its own purposes. Advance notice will be piven as soon as possible on such occasions.
The Town Clerk should be infonned promptly of any schedule change or cancellation of your group activities.
Arrangements for access to specific area to be used should be made with the Town Clerk at the time this foi nn is
submitted..
No application shall be considered approved until it has been submitted to the Town Clerk for review and
Clearance..
kt "
2010-01-19 JCM
Terms of the agreement must be strictly adhered to by the contracting group as any disregard or abuse of the rules
far use of the facilities will result in teri-nination of use by the offending group, and they will not be granted
reinstatement.
I have read and under and the rules and regulations for the use of the Facilities in the Town of Wappinger Town.
.Hall, and will com y Ali these z quir meats.
Signed: l
For: I' S
(Name of Group ol Organization)
Date.-
Approved:
ate:Approved:
Town Clerk
Date:
w