Permit Form

CEDAR GROVE BOARD OF EDUCATION

Permits for BOE fields and facilities are to be filed with the Central Board Office, 520 Pompton Ave., Cedar Grove, NJ 07009. It is understood that any school activity will take precedence over the use of the facility by an outside organization. The Board of Education reserves the right to deny an application and to withdraw permission after approval has been given and after the use has commenced. Please fill out and submit all parts of the application to the Cedar Grove Central Board Office, 520 Pompton Ave., Cedar Grove, NJ 07009.
If you have any questions, please contact:

Tay Infante, Athletic Department

973-239-6400 x 1021

infante.tay@cgschools.org
Date of Application*

MonthDayYear
Date
Name of Organization*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone# of Applicant*
Please enter a valid phone number.
Email of Applicant*
example@example.com
BUILDING REQUESTED*

Cedar Grove High SchoolMemorial Middle SchoolNorth End SchoolSouth End SchoolL.R. Parks SchoolNone
FIELD REQUESTED*

Cedar Grove High SchoolMemorial Middle SchoolNorth End SchoolSouth End SchoolL.R. Parks SchoolNone
FIELDS AVAILABLE FOR RENT ARE:

Pick one location per Permit
Field Needed*

Yes (select field below)No
CEDAR GROVE HIGH SCHOOL

CGHS Stadium Field (Spring #3, Fall #B)CGHS Practice Field (Fall #A)Varsity Baseball Field (Spring #1)
MEMORIAL MIDDLE SCHOOL

Soccer/Lacrosse Field (Fall #A)Baseball Field (Spring #1)
L.R. Parks School

Softball Field (Spring #3, Fall #B)
SOUTH END SCHOOL

Baseball Field (Spring #1, Fall #A/B)Softball Field (Spring # 2/3, Fall #C/D)
NORTH END SCHOOL

Lower Baseball Field (Spring #2, Fall #B)Upper Baseball Field (Spring #4)Lower Small Field (Spring #1, Fall #A)Lower Large Field (Spring #3, Fall #C)Upper Large Field (Spring #5, Fall #D/E)
GYMS/ROOMS AVAILABLE FOR RENT ARE:

Pick one location per Permit
Indoor room needed*

Yes (select room/school below)No
CEDAR GROVE HIGH SCHOOL

GymAuxiliary GymCafeteriaMedia CenterClassroomAuditorium
MEMORIAL MIDDLE SCHOOL

GymCafeteria GymMedia CenterClassroom
CEDAR GROVE HIGH SCHOOL

GymAuxiliary GymCafeteriaAuditoriumMedia CenterClassroom
MEMORIAL MIDDLE SCHOOL

GymCafeteria GymMedia CenterClassroom
NORTH END SCHOOL

GymMedia CenterClassroom
SOUTH END SCHOOL

GymMedia CenterClassroom
NORTH END SCHOOL

GymMedia CenterClassroom
SOUTH END SCHOOL

GymMedia CenterClassroom
L.R. PARKS SCHOOL

GymClassroom
Start Date:*

MonthDayYear
Date
End Date:*

MonthDayYear
Date
If requesting more than one date, the box below must be completed.
Day of the Week:*
ex: Tues and Friday
Repeat? Yes or No*
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Description of Event*
# of Children*
Ages of Children*
# of Adults*
Day of the week:*

Repeat? Yes or No*

Time*   to   Time*

Description of event:*

# of children:*         Ages of children*

# of Adults*
If requesting more than one date, the box below must be completed.
If requesting more than one date, the box below must be completed. Please also list any additional information that might help in the approval process.*
DO NOT SUBMIT MULTIPLE REQUESTS FOR THE SAME EVENT. ALL DATES SHOULD BE LISTED ON ONE PERMIT.
Will you be using any equipment?*

NoYes (list below)
Will you be selling foods or goods?*

NoYes (list below)
List below equipment or food/goods. If no, type n/a*
Does your organization require a Certificate of Insurance?*

NoYes (Please attach certificate below. If you do no include a certificate your permit will be denied.)
File Upload

Cancelof
Signature*

Clear
If you have any questions, please contact:

Tay Infante, Athletic Department

973-239-6400 x 1021

infante.tay@cgschools.org
Signature of Lessee*

Clear
Fees are subject to change.
Facility Rental Fees  Type a label
Lights Rental Fees   Type a label
Custodial Fee   Type a label
Additional Fee as Described   Type a label
Total Due:   Type a label
Invoice will be email to you.
*Based on classification, organizations or persons granted the use of facilities shall pay in advance the scheduled fee and the cost of additional staff services required by use. The Board of Education reserves the right to make changes as necessary on a case by case basis.

*All checks should be made out to the ‘CEDAR GROVE BOARD OF EDUCATION’.

*Any cancellations must be made at least 48 hours in advance, which must be school days, and you must receive confirmation in writing from district personnel for the cancellation to be effective and to receive any reimbursements of funds paid. If cancellation is not made at least 48 hours in advance, full payment is due to the Cedar Grove Board of Education.
If you have any questions, please contact:

Tay Infante, Athletic Department

973-239-6400 x 1021

infante.tay@cgschools.org
Should be Empty:

CEDAR GROVE BOARD OF EDUCATION

FIELDS AVAILABLE FOR RENT ARE:

GYMS/ROOMS AVAILABLE FOR RENT ARE: