CITY OF CARROLLTON PARK INFORMATION REQUEST ORGANIZATION: CHAIRMAN OF EVENT: PRESIDENT OF ORGANIZATION: DATE OF EVENT: TYPE OF EVENT: STATE CHARTER FOR NOT-FOR-PROFIT ISSUED: YES _______ NO _____ EXPLAIN NEEDS OF EVENT AND HOW THE PARK FACILITY WILL BE USED: CERTIFICATE OF INSURANCE REQUIRED: YES ______ NO _______ LIQUOR LIABILITY REQUIRED: YES ______ NO _______ COPIES OF THESE CERTIFICATES MUST BE SUBMITTED TO THE MUNICIPAL CLERK PRIOR TO THE EVENT (IF REQUIRED). THE EVENT WILL BE STOPPED IF THEY ARE NOT FILED PRIOR TO THE EVENT. SPECIAL CONDITIONS FOR THE PARK 1. SHELTER AND AREA MUST BE CLEARED BEFORE YOU LEAVE OR CLEANUP CHARGES WILL BE ASSESSED. 2. 3. 4. 5. SIGNED: APPROVED: ORGANIZATION CHAIRMAN MAYOR DATE: DATE: CITY OF CARROLLTON PARK RESERVATION APPLICATION NAME: ADDRESS: CITY: TELEPHONE NO: DATE REQUESTED: TYPE OF FUNCTION: HOURS: ESTIMATED ATTENDANCE: SPECIAL CONDITIONS 1. 2. 3. FEE: $ SIGNED: APPROVED: APPLICANT PARK BOARD CHAIRMAN DATE: DATE: REQUIREMENTS 1. THIS APPLICATION MUST BE APPROVED BY THE MAYOR. 2. A COPY OF THE APPLICATION WILL BE MAILED AFTER IT’S APPROVED. 3. APPLICANT SHALL DISPLAY THIS APPLICATION THE NIGHT BEFORE THE FUNCTION. SHELTER AND AREA SHALL BE CLEANED BEFORE YOU LEAVE OR CLEANUP CHARGES WILL BE ASSESSED.