Pinckney, NY · Lewis County

No notary required

Application for Use of Community Facilities

This application lets organizations or individuals request use of Town of Pinckney community facilities and agree to follow the facility requirements.

What this form is

Use this application to request a community facility for specified dates and times. It asks about the applicant or organization, the planned activity, expected attendance, equipment or materials, and any admission fee. The signer agrees to be responsible for facility use and care; facility approval and any applicable insurance requirements are described in the attached requirements.

Who needs it

Organizations or individuals seeking to use Town of Pinckney recreational or park facilities should complete this application.

How to submit it

Return the application to the Town of Pinckney Clerk, 587 County Route 194, Copenhagen, NY 13626.

About notarization

This document is signed without a notary; the organization’s representative signs the application, and no notarized attachment or related step is specified.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Pinckney Application for Use of Community Facilities.

  2. 2

    Complete The Application

    Enter the requested dates, facility, applicant information, intended use, expected attendance, and other requested details.

  3. 3

    Review Requirements

    Read the attached facility requirements and include insurance information when required.

  4. 4

    Sign And Return

    Have the organization’s representative sign the application and return it to the Town of Pinckney Clerk at the listed address.

Frequently asked questions

Who can apply to use Town of Pinckney community facilities?
Organizations or individuals can apply. The application asks for the group or individual’s details, requested facility and dates, intended use, and expected attendance.
What information does the facility use application request?
It asks for contact and scheduling details, the purpose of use, participant counts, equipment needs, and admission-fee information. The signer also agrees to facility-use requirements.
Do I need a notary for the Application for Use of Community Facilities?
No. The document is signed without a notary; the organization’s representative signs it, and no notarized attachment or related step is specified.
How do I submit the community facility use application?
Return the completed application to the Town of Pinckney Clerk at 587 County Route 194, Copenhagen, NY 13626.

Need something notarized?

This Application for Use of Community Facilities doesn’t need a notary — but if you have another Pinckney form that does, a commissioned online notary can help.