Deerpark, NY · Orange County

No notary required

Facilities Use Application

Individuals and organizations use this application to request use of Town of Deerpark facilities or lands for a specific date and activity.

What this form is

Use this application to request a Town facility or parcel for an intended activity. The accompanying rules say requests must be received at least 30 days before the intended use, and applications are submitted to the Town Clerk with required documentation. The form asks for dates, facility, contact and supervisory details, purpose, expected participants, and a signed indemnification agreement.

Who needs it

Individuals or organizations seeking to reserve a Town of Deerpark facility or land for a specific use should complete this application.

How to submit it

Apply at the Town Clerk’s office using the approved form and provide required documentation with the application. The form lists 420 U.S. Route 209, PO Box 621, Huguenot, NY 12746, and [email protected].

About notarization

This application is signed without a notary; the signer signs and dates the indemnification agreement, and no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download The Application

    Download the Facilities Use Application.

  2. 2

    Complete The Form

    Enter the intended dates, facility, contact details, purpose, and expected participant counts.

  3. 3

    Gather Required Documentation

    Include the documentation required for your application; organizational users must provide the listed insurance documentation.

  4. 4

    Sign And Date

    Sign and date the indemnification agreement.

  5. 5

    Submit To The Town Clerk

    Apply at the Town Clerk’s office using the approved form and provide required documentation.

Frequently asked questions

Who can apply to use Town of Deerpark facilities?
The application is for individuals or organizations seeking to use Town facilities or lands. The accompanying rules say people may apply regardless of where they live.
When should I submit the Facilities Use Application?
The accompanying local law says requests must be received at least 30 days before the intended date of use.
How do I submit the Facilities Use Application?
Apply at the Town Clerk’s office using the approved form and provide required documentation with your application. The form lists a mailing address and email contact.
Do I need a notary for the Facilities Use Application?
No. The application is signed without a notary. The signer signs and dates the indemnification agreement; no notarized or sworn attachment is specified.