2025-118 (3)APPLICATION FOR EVENT PERMIT FOR RECREATION PROPERTIES
Recreation Property/Facility Requested (Check all that Apply):
❑ Martz Field Pavilion ❑ Carnwath Farms Park
❑ Castle Point Pavilion ❑ Reese Park Pavilion
❑ Schlathaus Band Shell ❑ Schlathaus Park
❑ Quiet Acres Pavilion
❑ Spook Hill Pavilion
Athletic Field/Court Rental is done through "Field Use Request Form *currently in place *"
Applicant•
Address•
Contact Person•
Phone Number•
Date and Time of Event:
Description of Event:
Estimated Attendance:
Events with an Attendance over 500 people require specific permission of the Town Board and additional permit
applications issued by the Fire Inspector and Zoning Administrator
Description of Event
Tents/ Canopies ❑ Yes ❑ No
If Yes, what type and size?
Will Porta -Johns be rented and placed on site? ❑ Yes ❑ No
How many and where will they be placed?
Temporary Signs/Banners (only allowed at site of event during the event)
❑ Yes ❑No
If Yes, describe.
Will there be Amplified Sound? Refer to attached copy of'Town noise ordinance
❑ Yes ❑No
If Yes, describe.
Will there be vendors selling goods at the event? ❑ Yes ❑ No
Will there be food prepared onsite? ❑ Yes ❑ No
Will the food be prepared by the renter or by an outside vendor?❑ Yes ❑ No
If food will be prepared onsite, please describe methods of preparation (ex. Fryers, grills, stoves, ovens etc.
Please specify if this equipment will be within a food truck or outdoors)
Will the event impact traffic in the area of the property? ❑ Yes ❑ No
If yes, please describe proposed methods of traffic control.
Will the event require the closure of any road? ❑ Yes ❑ No
If Yes, what is the reason?
❑ Parade
❑ Road Race
❑ Street Fair
❑ Other
Please provide map of all roads affected by closure or impacted by heavy traffic.
If the event will, impact traffic or require road closure, the renter must coordinate with the following agencies
and submit proof of contact
❑ Dutchess County 911 (845)486-2080
❑ NY State Police (845)677-7300
❑ Dutchess County Sheriff's Department (845)486-3800
❑ Fire Department (based on property location)
I have read and understand the "Rules and Regulations for The Use of Town of Wappinger Parks/Facilities Rental"
and will comply with these regulations. The undersigned warrants and represents that he/she/they have the authority
to sign this application on behalf of (Name of organization/address/ principal contact)
. (Name of Organization) shall
indemnify and hold harmless the Town of Wappinger against all claims on account of injury, loss or damage arising
or alleged to arise out of or in connection with the occupancy of the Town of Wappinger premises including all
expenses incurred by the Town of Wappinger in the defense settlement or satisfaction thereof including expenses of
legal counsel.
Signature Print Date
If alcohol will be served at the event
In addition, (Name of organization) agrees
to provide to the Town of Wappinger, a Certificate of Insurance, which indicates a current Commercial General
Liability policy is in force, with (Name of organization)
as the first name insured written with an insurance company with an A.M. Best's rating of "A" or better. The
occurrence limit must indicate a limit not less than $1,000,000.00. Town of Wappinger is to be listed as additional
insured on a primary, non-contributory basis. No approval is granted or implied unless and until all requirements as
outlined above has been submitted to, received and accepted by the Town of Wappinger.
I UNDERSTAND THAT APPROVAL DOES NOT BECOME EFFECTIVE UNTIL A ,$1,000,000.00
LIABILITY INSURANCE POLICYNAMING THE TOWN OF WAPPINGER AS ANADDITIONAL
INSURED IS SUBMITTED.
Signature Print Date