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Also attached to this agenda item: Proposed Senasqua Park Rules Resolution 19-2024 Senasqua Rules

APPLICANT INFORMATION Organization/Group Name: Primary Contact Name: Cell Phone Number: Email: Mailing Address (Street): City: State: ZIP: FACILITY/EVENT INFORMATION Please check the box of the facility or park: ☐ Field (Field Name ___________________) ☐ Senasqua Park ☐ Picnic (8-25 Max) ☐ Pavilion (8-125 Max): ☐ 9:00 a.m. – 2:00 p.m. ☐ 3:00 p.m. – 9:00 p.m. ☐ 9:00 a.m. – 9:00 p.m. Note: Senasqua Park Rentals are Weekends only from 12 p.m. to 6 p.m. from May 6 – May 21 and Sept 9 – Oct. 28 ☐ 12:00 p.m. – 6:00 p.m. Date Requested (mm/dd/yy):__________ Hours Requested: from ________ to ________ Description of function (please indicate any special requests): ______________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ Anticipated Group Size: _____________ (Adults: ________ Children:________) Will Alcoholic beverages be served? ☐ Yes ☐ No Will activity include third party food or beverage vendors? ☐ Yes ☐ No Will the activity include any sort of entertainment (face painter, magician, clown, etc.)? ☐ Yes ☐ No Will the activity include any sort of fundraising or sales? ☐ Yes ☐ No If yes to any of above, please describe: ______________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ The sale of food or beverages, serving of alcohol, and the inclusion of any sort of entertainment (face painter, clown, magician, etc.) requires prior approval by the Recreation Department and/or Village Manager. Individuals or groups may be required to obtain insurance in accordance with the requirements on file with the Village Clerk as part of this approval. I, the undersigned, and the organization or group which I represent, agree to abide by the rules and regulations of the Department of Recreation and Parks in using the above facilities. We will not permit drinking by persons under the legal age (21). Boisterous conduct, horseplay, or any other activity which will interfere with the enjoyment of the facilities by others will not be tolerated. We agree to be responsible for damages to the property and individuals resulting from the actions of our organization. We agree to be responsible for cleaning up trash and containers and to leave the facility in the same condition in which we found it. Form Completed by: ____________________________________ ______________________________________ (Signature) (Print Name) Recreation use only: ☐ Recreation Approved _____ ☐ Manager Approved ______