Jerome, AZ · Yavapai County
Application for Facility Use
This application lets residents and organizations request use of Jerome parks, facilities, or other Town rights of way for an event.
What this form is
Use this application to request a Town facility or right of way for an event. The Town says the application must be approved before a permit can be issued and should be submitted at least 60 days before the event. It asks for applicant and organization details, the requested location, dates and hours of use, expected attendance, and the applicant’s signature.
Who needs it
Residents and organizations seeking to use a Jerome park, facility, or other Town right of way for an event need to complete this application.
How to submit it
Return the application and attached Hold Harmless Agreement to the Town Clerk, P.O. Box 335, Jerome, AZ 86331. Include a certificate of insurance naming the Town of Jerome as an Additional Insured if the Town requires it.
About notarization
This application is signed and dated without a notary; the attached Hold Harmless Agreement is required, but the form does not say it must be notarized.
How to submit this form
- 1
Download The Application
Download the Application for Facility Use.
- 2
Complete The Form
Provide applicant details, requested location, dates and hours of use, expected attendance, and the applicant’s signature.
- 3
Gather Attachments
Attach the Hold Harmless Agreement. Include a certificate of insurance naming the Town of Jerome as an Additional Insured if required by the Town.
- 4
Submit To The Town Clerk
Return the application and attachments to the Town Clerk, P.O. Box 335, Jerome, AZ 86331; submit at least 60 days before the event.
Frequently asked questions
- Do I need a notary for the Application for Facility Use?
- No. The application calls for a signature and date, not notarization. It also requires an attached Hold Harmless Agreement but does not say that agreement must be notarized.
- How do I submit the Application for Facility Use?
- Return the completed application and attached Hold Harmless Agreement to the Town Clerk, P.O. Box 335, Jerome, AZ 86331. Include a certificate of insurance if the Town requires it.
- When should I submit the application?
- The form says to submit the application at least 60 days before the event. It also states that the Town must approve the application before a permit can be issued.