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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone * RequiredEmail * Required Name of Organization And/Or Event * Required Head of Organization * Required Head of Organization Phone * RequiredChairperson Chairperson PhoneDate 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 * RequiredAny 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Insurance Carrier PhoneApplicant's Signature * RequiredDate 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 * RequiredMax. file size: 64 MB.Form Text Editor Letter * Required EmailThis field is for validation purposes and should be left unchanged.
