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Park Request Form for Small Groups

Today's Date*


Date of Event*


Please enter the date for which the reservation request is being made. If this is a Multi-Day Event, enter an End Date below.

Name of Applicant or Organization*

Address of Applicant*

Street Address

Address Line 2

City

State

ZIP Code


Phone Number of Applicant*

Email Address of Applicant*

Confirm Email*


NOTE: A copy of the finished form will be sent to this email address.
Fax Number of Applicant

Name of Day-of-Event Contact Person*

Phone Number for Day-of-Event Contact Person*

Name of Park Requested*

Requested Area of Park*

Please use this section to describe the area of the park you wish to reserve (i.e. soccer field, picnic area, baseball field, etc.)

Hours of Park Usage
Start and end time include time needed to set up and take down the event.

Start Time*


End Time*


Rain Date

Rain Date Start Time*


Rain Date End Time


Event Details
Expected Number of Attendees:*

Please describe the type of event you wish to hold.*

Please describe furnishings and equipment that you plan to use during your event, such as tables, tents, booths, chairs and other furnishings.

Please include tent dimensions if applicable. If you do not intend you use any furnishings or equipment, please leave this field blank.

Will you bring food or use a caterer? If so, please briefly describe below. If not, please type "no."*

Will music be played during the event?*

If music will be played at the event, please include information below as to whether it will be live or pre-recorded

Will you need access to electrical power?*

 

PLEASE NOTE:
1. No alcoholic beverages are permissible.
2. If your request is approved, you must obtain a Certificate of Liability Insurance, which cites the City of New Brunswick as the "Additional Insured". You must also obtain food and/or vendor permits (if it applies) from the City Clerk’s Office at 78 Bayard Street. Both documents must be in the Administrator’s Office no later than seven (7) business days prior to the scheduled event.
3. There will be No Refunds. In consideration of the granting of permission by the City of New Brunswick - Division of Recreation to the applicant for use of the facilities set forth above, the applicant hereby shall defend, indemnify and save harmless the City of New Brunswick, and the Division of Recreation against all claims arising from conduct of activities for which this application is made. Furthermore the applicant is advised: The applicant has agreed by Ordinance #11-1,2,&3 “PARKS and PLAYGROUNDS” 
4. The City of New Brunswick carries insurance covering its legal liability. The City of New Brunswick assumes no liability with respect to bodily injury, property damage, illness or any other damages or losses, or with respect to any claims arising out of any activity of the permit. 
5. (A) The City’s standard insurance rate for Park Requests and Street Closings is One Million Dollars ($1,000,000.00)
(B) For inflatables and mechanical amusements (i.e. games or rides that do not require electrical equipment) and/or rides (rides that require electrical equipment) an additional One Million Dollars ($1,000,000.00) for any inflatable 18' high or less is required. 
(C) For inflatables and mechanical amusements (i.e. games or rides that do not require electrical equipment) and/or rides (rides that require electrical equipment) an additional Two Million Dollars ($2,000,000.00) for any inflatable higher than 18' is required. 
(D) For Amusements/Rides - Submit two (2) separate insurance certificates. i.e. the standard One Million Dollar ($1,000,000.00) insurance for a Park Request and/or Street Closing event, and another One Million Dollar ($1,000,000.00) or Two Million Dollar ($2,000,000.00) insurance certificate from the Amusement Agency, which cites the City of New Brunswick as the "Additional Insured".
6. You will be contacted by the Department of Administration to discuss insurance paperwork when your park use request is received. 
7. If you wish to cancel your reservation, please contact the Department of Administration at least 24 hours in advance by calling (732) 745-5007.