ELECTRICAL EQUIPMENT TO BE USED: (Please Note)All electrical equipment, if property of the school, must be operated by a school employee (i.e., lighting, sound system, projectors, air conditioning, etc.)
Do you (the requesting organization) have an in-force public liability policy? *
If yes, what are the limits of liability?
Your Certificate of Insurance with proper limits of liability, must be submitted at least three (3) days prior to your event.
Bodily Injury $
Property Damage $
A DEPOSIT OF $100.00 IS REQUIRED WITH THIS APPLICATION FROM ANY ORGANIZATION OUTSIDE DENNIS TOWNSHIP. THE DEPOSIT WILL BE RETURNED AFTER INSPECTION OF THE AREA OF USE PROVIDING IT IS LEFT DAMAGE FREE AND IN A CLEAN AND ORDERLY CONDITION.
Signature of Applicant/Sponsor: (Please enter your full name below) *
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