North Dansville, NY · Livingston County
Facilities Use Form
The Facilities Use Form lets organizations, companies, and individuals request a Town of North Dansville facility reservation and agree to its use requirements.
What this form is
Organizations, companies, and members of the public use this form to request a reservation at a Town of North Dansville facility. Applicants provide the facility, activity, requested date and times, and contact details, then sign the statement of responsibility. The form lists facility rules and insurance requirements for users; commercial users and individuals have different insurance requirements.
Who needs it
Organizations, companies, or members of the public who want to use a Town of North Dansville facility must apply to the Town Clerk.
How to submit it
Apply to the Town Clerk using this form; the Town Board or its designee has final approval authority. The listed facility-use fee is $0.00, with a separate $25.00 fee for an alcohol permit.
About notarization
This document is signed and dated without a notary; the form lists insurance documents some users must provide, but does not require them to be sworn or notarized.
How to submit this form
- 1
Download The Form
Download the Facilities Use Form.
- 2
Complete The Form
Enter the requested facility, activity, reservation date and times, and contact information. Sign and date the statement of responsibility.
- 3
Gather Required Insurance Documents
If applicable, provide the insurance documents listed for commercial users or individuals before using the facility.
- 4
Apply To The Town Clerk
Submit the application to the Town Clerk. The Town Board or its designee has final approval authority.
Frequently asked questions
- Who can apply to use a Town of North Dansville facility?
- Organizations, companies, and members of the public may apply to the Town Clerk using the prescribed application. Applicants must be at least 18 years old.
- What information does the Facilities Use Form request?
- It asks for the facility and activity, requested reservation date and times, organization or company name, and contact details. The applicant also signs the statement of responsibility.
- Do I need a notary for the Facilities Use Form?
- No. The form is signed and dated without a notary. It lists insurance documents some users must provide, but does not require those documents to be sworn or notarized.
- How do I submit the Facilities Use Form?
- Apply to the Town Clerk using this form. The Town Board or its designee has final authority to approve the request.
Need something notarized?
This Facilities Use Form doesn’t need a notary — but if you have another North Dansville form that does, a commissioned online notary can help.