Park Permit

Please review the Parks Permit Local Law before filling out the below requested information.
Name * Required
First Last
Address * Required
Street Address Address Line 2 City State ZIP Code
Phone * Required
Email * Required
Name of Organization And/Or Event * Required
Head of Organization * Required
Head of Organization Phone * Required
Chairperson
Chairperson Phone
Date or Dates of Event * Required
Time and Duration of Event * Required
Type of Event * Required
Event Location * Required
Description of how you intend to clean-up the site Post-Event * Required
Any further information you feel pertinent?
If the Village of Greenwich Requires you to obtain Insurance for this Event, who will the Insurance Carrier be?
Name of Company
Agent's Name
Insurance Carrier Address
Street Address Address Line 2 City State ZIP Code
Insurance Carrier Phone
Applicant's Signature * Required
Date of Signature - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
In addition to the above information, the applicant must also supply the following information:

1.) A letter stating that the applicant is responsible for the clean-up of the Right-Of-Way, Street, Public Place or Public Park and that the applicant will pay all costs for said clean-up and will reimburse the Village if it is found necessary.
Preferred way to attach letter? * Required
- File Upload
- Form Text Editor
Letter File Upload * Required
Max. file size: 64 MB.
Form Text Editor Letter * Required
Name
This field is for validation purposes and should be left unchanged.

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