Type Full Name :
Sign With Hand
Contact Person Details
Certification
Attachments
Phone #
Name
Note: Priority is given to all Blakely Borough activities, at times community organizations will be required to use facilities on a sharing basis. All garbage and materials must be properly disposed of and any tables that are moved must be placed in their previous location.
Date From
Park
Address
Phone #
Name
Organization/Applicant Details
ZIP
Purpose of Reservation
Date To
City
Signature
Email
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
For the following purpose the organization stated above promises to abide by the rules and regulations of the Borough of Blakely; to be responsible for any damage over and above reasonable wear and tear; and to provide police protection in the event of a public or semi-public affair. Requests should be made far enough in advance so that the Borough Manager can act upon them as soon as possible. Blakely Borough reserves the right to reject any or all applications. The user stated in the above section is the person designated to be in charge.
Park Reservation Application
Is Organization Non-Profit?
Area
Please attach Certificate of Insurance naming Blakely Borough as additional insured if non-profit organization.
Event Details
State
Event Type
Email
Address