APPLICATION FOR USE OF MUNICIPAL FACILITIES

TOWNSHIP OF EAST AMWELL

RINGOES, NEW ERSEY 08551

Fax 908-782-1967

Please print, complete with black ink and return to township clerk’s office.

1.Name of Organization:____________________________________________________

2.Address of Organization:__________________________________________________

____________________________________________________

3.Contact Name:____________________________ Position:______________________

4.Phone Number:(____)__________________ Cell Number: (____)________________

5.Email Address:________________________

6.Nature of Program/Activity:____________________________________________________________

___________________________________________________________________________

7.Facilities Requested: Please check appropriate spaces:

Meeting Room____ Small ball field _____ Large ball field _____

Soccer Muni ____(sm) _____ (lg) EATS Soccer ______ Other________________

8.Date Facilities Requested: (Month, Day, Year) From__________ To ___________

9.Beginning time of program/activity: ______________ ending time:_____________

10. Anticipated number of people:______________

11. Audience composition: General_____ Adult______Students_____

I/We have read the rules adopted by the East Amwell Township committee for the use of the

municipal facilities and agree to abide by them.

As a condition for the use of the premises by the East Amwell Municipal Building, the undersigned

expressly agrees to indemnify and save the Township Committee harmless from and against all

demands, liabilities, suits or judgments of whatever kind or nature , and all cost or expense in

conjunction therewith including court cost, attorneys fees arising out of or resulting from death or

injury to persons loss, damage or injury to property caused or occasioned or claimed to be caused

or occasioned directly or indirectly by or in connection with the use of the premises by the

applicant.

_____________________________________________ _______________________

Signature of Applicant Title Date

NOTE: Except in emergencies, completed applications must be received in the Township Clerk’s

office at least three weeks prior to the proposed date of the function to receive approval from the

Township Committee.

Permission is hereby (granted) (denied) to the applicant as stated above for the use of the Municipal

facilities as requested by the applicant.

_______________________________________ _________________________

East Amwell Recreation Committee Date