UPPER FREEHOLD TOWNSHIP

P.O. BOX 89

CREAM RIDGE, NJ 08514

PH: (609) 758-7738 EXT. 22 FAX (609) 758-5630

ORGANIZATION:________________________________    TYPE: Profit                 Non-Profit

                                                                                                                        (If applicable)

APPLICANT’S NAME: ____________________________   PHONE: _____________________________

ADDRESS:

DATE OF USE:___________________________________   HOURS OF USE:_________ to  __________

TYPE OF EVENT:  __________________________________________

ESTIMATED NUMBER OF PARTICIPANTS: ___________________

PARK LOCATION:           Byron Johnson Recreation Park                     Mark Harbourt Soccer Complex

(Circle)                                  Reed Property

FACULITIES NEEDED:

(Check applicable)

BYRON JOHNSON PARK

 

Entire Park

 

Small Soccer Field

 

Bocce Courts

 

Parking Lot

 

Tennis Courts

 

Softball Field

 

Football Field

 

Horseshoe pits

 

Football Press Box

 

Electric

 

Baseball Field

 

Tot Lot

 

Volleyball Court

 

Basketball Courts

 

Large Soccer Field

 

Gazebo

 

Concession Stand

 

Bathrooms

MARK HARBOURT SOCCER COMPLEX

 

Entire Park

 

Small Soccer Field

 

Large Soccer Field

 

Tot Lot

 

Parking Lot

REED PROPERTY

 

Entire Park

 

Softball Field

 

Lacrosse Fields

 

 

Parking Lot

 

SPECIAL CONDITIONS OR REQUESTS: ___________________________________________________________________

I (we) request the use of the park as designated with the understanding that I (we) will comply with all township ordinances, rules and regulations. In addition, I (we) agree to hold the Township of Upper Freehold, and their respective representatives harmless from and indemnify them against any injury to person or damage to property caused by my (our) use of the designated park or any area adjacent or attendant thereof. I (we) further agree to pay a security deposit of $500, which will be returned, provided the park used is left in a clean, safe and sanitary condition. I (we) have read a copy of the Rules and Regulations of the park, and understand all requirements.

SIGNATURE OF APPLICANT:  _______________________DATE:_________________

                                                           FOR OFFICE USE ONLY

Application:     (       )   Approved                   (       )   Not Approved

Usage Fee:   (       ) Waived      (      )   N/A        (      ) Received           Amount          (     ) Check      (     ) Cash

Deposit Fee:   (        ) Waived       (    ) Date Received: __________________  Amount:  _____________

                                                     (    ) Date Returned: __________________      (     ) Check

                                                                                                                               (    ) Cash

SPECIAL CONDITIONS OR REQUESTS:______________________________________________________

_______________________________________________________________________________________

TOWNSHIP APPROVAL:______________________________            DATE: ________________________