Staff Use - Special Event Permit Application

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Special Event Permit Application

This form is used to request a special event permit, which secures use of Homer-Center Parks and Recreation facilities, excluding the pool.
Your event is not permitted until approved by the Board. The board meets on the second Monday of each month. It is your responsibility to submit your application to the Board well ahead of the event in order to secure timely approval. It is recommended you submit your application to the Board for consideration at the meeting the month before the event. For example: If your event is in May, submit the application before the second Monday in April. Events held without a permit will subject the event holder to criminal and civil prosecution.
Event Information
Which Facility(s) Are You Renting*

Floodway - PavilionFloodway - Field 1Floodway - Field 2In Town - PlaygroundIn Town - Basketball CourtIn Town - Pickleball/Tennis CourtRisinger - Entire ParkLucerne- Entire ParkSyntron - Entire Park
Floodway Park Rental
Please check that the facility is available before reserving
Start Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
End Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
Brief Description of Event*
In Town Park Rental
Please check that the facility is available before reserving
Start Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
End Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
Brief Description of Event*
Risinger Park Rental
Please check that the facility is available before reserving
Start Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
End Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
Brief Description of Event*
Lucerne Park Rental
Please check that the facility is available before reserving
Start Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
End Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
Brief Description of Event*
Syntron Park Rental
Please check that the facility is available before reserving
Start Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
End Date of Event

MonthDayYear
mm-dd-yyyyHourMinuteAM/PM Option
Brief Description of Event*
Renter Information
Group/Organization*
Contact Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please read and check the box below to verify you agree with the Facility Rental Agreement
Upload required documents (certificate of insurance, organization letter, drivers license, Event Plan)

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Special Event Permit Application

Event Information

Renter Information