Southport, NY · Chemung County

No notary required

Community Center Use Application and Permit

Residents, nonresidents, and organizations use this application to request a rental of the Town of Southport Community Center.

What this form is

This application requests use of the Town of Southport Community Center and records the applicant’s contact information, requested date and time, reason for use, and number attending. The applicant selects the applicable rental fee, which the form says must be paid with the application at the Town Clerk’s Office at Town Hall. Nonprofit organizations must provide proof of 501-C3 tax exemption and a certificate of insurance naming the town as additional insured.

Who needs it

Anyone requesting to use the Community Center should complete this application, including nonprofit organizations that must provide the listed exemption proof and insurance certificate.

How to submit it

Take the completed application and any required attachments to the Town of Southport Clerk’s Office at Town Hall. The form says the applicable fee is due when the application is completed; nonprofit organizations have no fee.

About notarization

This document is signed and dated without a notary; nonprofit organizations must provide tax-exemption proof and an insurance certificate, but the form does not say either must be notarized.

How to submit this form

  1. 1

    Download the Application

    Download the Community Center Use Application and Permit.

  2. 2

    Complete the Application

    Enter your contact details, requested date and time, reason for use, number attending, and selected rental fee.

  3. 3

    Gather Required Attachments

    If applying as a nonprofit organization, include proof of 501-C3 tax exemption and a certificate of insurance naming the town as additional insured.

  4. 4

    Submit to the Town

    Take the application and any required attachments to the Town Clerk’s Office at Town Hall; pay the applicable fee with the application.

Frequently asked questions

Who should complete the Community Center Use Application?
Anyone requesting to use the Town of Southport Community Center should complete the application, including residents, nonresidents, and organizations.
What attachments are required for nonprofit organizations?
The form requires nonprofit organizations to provide proof of 501-C3 tax exemption and a certificate of insurance naming the Town of Southport as additional insured.
Do I need a notary for the Community Center Use Application?
No. The applicant signs and dates the form without a notary. Nonprofit tax-exemption proof and an insurance certificate are required, but the form does not say they must be notarized.
How do I submit the Community Center Use Application?
Take the completed application to the Town of Southport Clerk’s Office at Town Hall. The applicable fee is due with the application; nonprofits have no fee.

Need something notarized?

This Community Center Use Application and Permit doesn’t need a notary — but if you have another Southport form that does, a commissioned online notary can help.