Application For Use Of Facilityform - Town Of Boston
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1
2TOWN OF BOSTON
APPLICATION FOR USE OF FACILITY
This Application is subject to Approval by the Town Board
***Application, deposit, plans, layouts and any additional proof from other agencies must be com-
pleted and submitted at time of application. Must be a Boston Resident to request use. ***
Name/Organization ___________________________________________ Date_____/____/______
Name of person responsible for facilities__________________________________________________
Title _____________________________________________________________________________
Applicant Address ____________________________________________________________________
Applicant Daytime Phone #_________________________________# Of Attendees:______________
Date(s) Requested*_______________________Time ______________ Type of Event_____________
Set Up ____________________________Take Down________________________________________
Sporting Leagues — Please attach Schedule
**Certificate of Insurance from your organization must be submitted at least 1 week before your 1st sporting event**
***Please confirm that your dates do not conflict with any Sporting Leagues***
Baseball—Josh Haeick
649-6170
Football—Chris Desiderio
312-0334
Softball—Paul DiCorso
941-6994
Soccer—John Stressinger
972-0606
I, THE UNDERSIGNED, REQUEST PERMISSION TO USE THE FOLLOWING: (check all that apply)
_____ South Boston Park Shelter
_____ Boston Town Park
___ Lions Shelter
_____ Town Hall Community Room w/ Kitchen
___ Small Shelter
___ Bathroom Facilities
Other _______________________________
___ Town Fields
______
WILL YOUR EVENT HAVE ANY OF THE FOLLOWING: (Check all that apply)
_____ Parade
_________________________________________
- Who will provide traffic control?
(Submit proof in writing from that agency at time of application)
_____ Parking
- Please submit parking Plan:
(
This must be approved by Park’s Superintendent
(over 50)
before submittal to Town Clerk with application)
_____ Rides
(Certificate of Insurance from your insurance company must be submitted 1 week before use begins)
Fireworks
_____
(Certificate of Insurance from Firework Vendor must be submitted 1 week before your event)
-Who will provide Fire Stand By? _____________________________________________
(Submit proof in writing from that agency at time of application)
_____ Vendors
- Please submit Layout (
This must be approved by Park’s Superintendent before submittal to
(over 5)
Town Clerk with application)
_____ Other
- Please indicate on your plan
(
This must be approved by Park’s Superintendent
before submittal to Town Clerk with application)
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