• FACILITY REQUEST FORM TOWN OF NEWCOMB

  • Town of Newcomb Community Center Room Use Request

  • Before completing this form, check NCC Booking Calendar for available times and dates and Facility Use Fees on our website, then begin by checking your room selections below.  The Town may waive certan fees for Non-Profit Groups and reserves the right to co-sponsor gatherings which are appropriate for Public Participation.

  • Select Option(s):
  • USER INFORMATION:

  • Event Date:
     - -
  • Select One
  • Format: (000) 000-0000.
  • Is this gathering private or open to the public?
  • Alcohol at Event (check one)

  • Yes - Alcohol will be provided, sold, served, or distributed at this event (including giveaways or included-with-admission). The applicant agrees to obtain a one-day permit from the New York State Liquor Authority (NYSLA) before the event (fee approximately $40, subject to NYSLA change) and comply with all applicable laws and venue rules.
  • No- By checking No, the applicant affirms that neither the organization nor any officer, member, agent, vendor, volunteer, or attendee will provide, sell, serve, or distribute alcoholic beverages to others at or in connection with the event (including at no cost or as part of admission). If alcohol will be provided by anyone, others (for example, setting up a communal bar, supplying cups/mixers/ice for alcohol, or pouring for attendees), the applicant must check Yes and obtain the required NYSLA one-day permit.
  • Serving Food to the Public:

  • You are required to obtain a permit from the New York State Department of Health (NYSDOH) if you plan to serve any food to the public at your event. Contact the New York State Department of Health (NYSDOH), 41 St. Bernard Street, Saranac Lake, NY 12983 Phone: (518) 891-1800
  • All required permits (e.g., NYSLA for alcohol, NYS DOH for food service) and insurance certificates must be submitted to the Town Office at least 5 days before the event, or your event may be canceled.
  • If you are unable to complete this form digitally, printed versions are accepted in person or by mail. For assistance, please contact the Town Office at (518) 582-3211 or you may obtain a printed copy from the staff at the Newcomb Community/Visitors Center.

  • Town of Newcomb Facility Use Acknowledgment

  • Use of Town facilities is limited to individuals 21 years of age or older. The facility must be returned to its original condition. Any damage or excessive cleanup required by the Town of Newcomb after the event, may result in additional charges and forfeiture of security deposit. Events must comply with all applicable local, state, and federal laws and ordinances. The applicant agrees to indemnify and hold harmless the Town of Newcomb, its officials, agents, and employees from any and all claims, damages, or expenses arising from the use of the facility. Certain uses may require proof of general liability insurance, naming the Town of Newcomb as an additional insured. The need for insurance shall be determined by the Town Supervisor or designated official. - The Town of Newcomb retains the authority to cancel any facility use request at any time, if it determines that the facility is not available for occupancy on the requested day and may cancel any reservation due to weather, public emergency, or violation of policies. - By signing this agreement, the applicant affirms that they are at least 21 years of age. Proof of age and identification may be required upon request. The applicant assumes full responsibility for the conduct of all attendees and the condition of the facility during and after the event. Cancellations must be made at least 72 hours in advance to receive a refund, if applicable. - A refundable security deposit of $100.00 may be required depending on the facility. The deposit will be forfeited if the facility is left damaged, unclean, or in violation of the agreement terms. - Facilities may not be sublet or transferred to another party without written consent of the Town. - No nails, tacks, or tape may be used on walls. All decorations must be removed after use.
  • Date:
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  • Should be Empty: