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Pavilion Rental Form
Pavilion Rental Form
North York Borough Staff
2022-07-20T12:29:08+00:00
Please enable JavaScript in your browser to complete this form.
Rental Type
*
Rental Date(s)
*
Start Time
7:00AM
8:00AM
9:00AM
10:00AM
11:00AM
12:00PM
1:00PM
2:00PM
3:00PM
4:00PM
5:00PM
6:00PM
7:00PM
8:00PM
End Time
7:00AM
8:00AM
9:00AM
10:00AM
11:00AM
12:00PM
1:00PM
2:00PM
3:00PM
4:00PM
5:00PM
6:00PM
7:00PM
8:00PM
Organization Name
*
Applicant Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Contact Numbers (Please include Cell Phone #, Home Phone # and/or Business Phone #)
*
Borough Resident
*
Yes
No
For Borough residents the rental fee is $50.00, non-residents $75.00
Event On-Site Contact Person
*
First
Last
Contact Numbers (Please include Cell Phone #, Home Phone # and/or Business Phone #)
North York Borough Park Rules and Instructions acknowledgement
*
Yes
No
I have read and understand this agreement and agree to abide by and be bound by the stated rules and regulations available for download on the North York Borough website. In addition, I agree to accept liability for all damages to the Borough's property occurring during the time rented, and I hereby release North York Borough and their heirs and affiliates from liability resulting from injury, accident or illness to myself or guests which may occur during this rental.
Signature and Date
*
Clear Signature
Submit
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