Coxsackie, NY · Greene County
Riverside Park Pavilion, Gazebo, and Park Area Reservation Permit Application
This application lets individuals, groups, and organizations request a reservation for a pavilion, gazebo, or park area at Riverside Park.
What this form is
Use this application to request a reservation for Riverside Park’s pavilion, gazebo, or park grounds. The form asks for the requested date and time, park area, applicant contact information, event purpose, and group size. It also sets out park rules, reservation fees and deposit, and circumstances requiring Village Board approval or a Certificate of Insurance.
Who needs it
Individuals, groups, and organizations seeking to reserve Riverside Park’s pavilion, gazebo, or grounds should complete this application.
How to submit it
Return the completed application to the Village Clerk, Village of Coxsackie, 119 Mansion Street, Coxsackie, NY 12051. The application lists a $50 reservation fee and a $100 deposit.
About notarization
This application is signed and dated without a notary; a Certificate of Insurance is required in certain cases, but the document does not say it must be notarized.
How to submit this form
- 1
Download The Application
Download the Riverside Park Pavilion, Gazebo, and Park Area Reservation Permit Application.
- 2
Complete The Application
Provide the requested date, time, park area, applicant contact information, event purpose, and group size.
- 3
Gather Any Required Insurance Documents
Include a Certificate of Insurance when required for the event or caterer, with the named insureds specified on the form.
- 4
Return The Application
Return it to the Village Clerk at 119 Mansion Street, Coxsackie, NY 12051, with the listed reservation fee and deposit.
Frequently asked questions
- Do I need a notary for the Riverside Park reservation application?
- No. The application has a signature and date line but no notary block. A Certificate of Insurance may be required for some events, but the form does not say it must be notarized.
- How do I submit the Riverside Park reservation application?
- Return the completed application to the Village Clerk at 119 Mansion Street, Coxsackie, NY 12051. The form lists a $50 reservation fee and a $100 deposit.
- What information does the application request?
- It asks for the event date and time, park area, applicant name and contact information, event purpose, and number of people in the group.
- When is a Certificate of Insurance required?
- The application says company and for-profit events must provide one, and catered events require the caterer to provide one. It lists the Village of Coxsackie and state parks and recreation as named insureds.
Need something notarized?
This Riverside Park Pavilion, Gazebo, and Park Area Reservation Permit Application doesn’t need a notary — but if you have another Coxsackie form that does, a commissioned online notary can help.