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  • CITY OF STAMFORD

  • Recreation Services Division
    888 Washington Boulevard Stamford, CT. 06901
    WWW.STAMFORDRECREATION.COM
    (203)977-5214
  • APPLICATION FOR LATHON WIDER

    137 Henry St, Stamford, CT 06902
  • Date of Application:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Event/s: *
     - -
    2 digit month, 2 digit day, 4 digit year
  • Requesting Use of:*
  • Format: (000) 000-0000.
  • Event Start Time:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Event End Time:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you serving food? Additional permit from Health Dept. is required*
  • Have you made any provision for on-site security? Police may be required*
  • 1. FOOD: If food is going to be served and/or sold, a HEALTH DEPARTMENT signature is required.
    2. INSURANCE: Certificate of insurance is required. The applicant is liable for all damages and injuries to property and person that may occur or be caused by the use of this permit and/or caused by the applicant, its employees, members, volunteers, participants, officers, and agents in or about the permitted location. By accepting the permit, the applicant agrees to indemnify and hold harmless the City, its employees, members, officers, and agents against and from any and all claims arising from applicant's use of the permit or from the conduct of the applicant's business or from any activity, work or other things done, permitted or suffered by applicant, its employees, members, volunteers, participants, officers, and agents in or about the permitted location.*A Certificate of Insurance naming the City of Stamford, their employees, officers, agents and anyone affiliated with the City of Stamford as additional insured in the amount of $1 million ($1,000,000) in general liability insurance is required. For more information, please contact the Risk Manager at (203) 977-4083.
    3. FEES: See chart (Located on page 3) Services provided by the City MUST BE PAID IN ADVANCE by the applicant to the individual Departments.
    4. CLEAN UP: Area MUST be left clean, and garbage disposed of by group using the facility.
    5. PROOF OF PERMIT: Approved permit MUST be available at event, to show any City of Stamford official.
  • Applications must be received atleast 3 weeks prior to the event date.

  • As the applicant, I hereby certify that the information I have provided on the form is complete and accurate to the best of my knowledge. I agree to abide by the terms set forth in this application, and the rules and regulations of the City of Stamford. I understand that failure to do so may result in the cancellation of the event, the denial of future permits, plus any other legal action deemed appropriate.
  • DATE:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • DATE:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Lathon Wider Event Fees

  • prevnext( X )
        Special Event
        $25.00$25.00
          
        Custodial Fee Up to 4 hours (Subject to Change)
        $240.00$240.00
          
        Total
        $0.00$0.00
      • Stamford Parks & Recreation

        Terms of Agreement/Waiver
      • As the applicant, I hereby certify that the information provided is true, complete and accurate to the best of my knowledge. I agree to follow the City of Stamford rules and regulations. I understand that failure to do so will lead to the revocation of the permit, the denial of other legal actions by the City of Stamford.
         
        The applicant acknowledges that it is aware that in response to the Covid-19 pandemic, the State of Connecticut has promulgated rules regarding the reopening of athletic and recreational fields and facilities and regarding the conduct of recreational and sporting events which must be adhered to in order to protect public health and safety.  The applicant acknowledges that it has reviewed all applicable Sector Rules for Reopening, Executive Orders of the Governor, and any other applicable State agency guidelines, and the applicant specifically agrees that it is responsible for complying with, and that it will comply with, and abide by all of the foregoing rules and orders for all of said league’s/organization’s recreational and sporting events that take place on City of Stamford or Board of Education fields or facilities.

        The applicant shall release the City of Stamford and the Board of Education from any liability arising from any alleged failure to comply with or abide by any Covid-19 pandemic Sector Rules for Reopening, Executive Orders of the Governor, and any other applicable State agency guidelines.  In addition, the applicant shall indemnify and hold the City of Stamford and the Board of Education harmless from any and all claims of injury or illness arising from an alleged failure to comply with any Covid-19 pandemic Sector Rules for Reopening, Executive Orders of the Governor, and any other applicable State agency guidelines. 


        I have received, read and will abide by all the rules and/or policies for use of City of Stamford facilities

      • Date*
         - -
        2 digit month, 2 digit day, 4 digit year
      •  
      • Should be Empty: