Application for Picnic Pavilion Rental
2023 Season
Contact Name
First Name
Last Name
Group/Organization
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Date of Event
-
Month
-
Day
Year
Date
Time of Event (start time and hours)
Number in Party
How did you hear about us?
Are you a Town Resident?
Yes
No
Pavilion Rules:
The Chesapeake Beach Pavilions may be used for any gathering or event, with the exception of anything for profit purposes. Town residents receive priority access to the pavilions.
The charging of a fee by the user group is strictly prohibited.
The name of the permit holder will be the responsible party during the event. The permit holder will be responsible for all clean-up of Pavilion, tables, equipment, and surrounding areas. The permit holder will provide their own trash bags, and all trash is to be bagged and removed
at the end of the event.
The permit holder will be liable for the cost of any damage to the Pavilions, tables, equipment, or surrounding areas caused by misuse or neglect by members of the group or attendees.
No drugs or alcohol of any kind are permitted on Town property at any time.
Facility users must be aware of their impact on the neighbors and surrounding community. Amplified sound systems are not permitted.
Grilling is not permitted.
No use of ball fields permitted.
There is no electricity available at the Pavilions.
Signature of Permit Holder
Printed Name of Permit Holder
First Name
Last Name
Date Signed
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Month
-
Day
Year
Date
Date
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Month
-
Day
Year
Date
Printed Name of Town Representative
First Name
Last Name
Date Signed
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Month
-
Day
Year
Date
Signature of Town Representative
Date
-
Month
-
Day
Year
Date
Permit purchaser will recieve an email confirming approval of the Pavilion Rental.
Submit
Should be Empty: