Pleasantville, NY · Westchester County
Park and Field Use Application
Pleasantville residents and organizations use this application to request a Village park or field for an event or group activity.
What this form is
The application requests permission to use a Pleasantville park or facility and asks for applicant or organization details, event information, attendance estimates, the requested location, date, and hours. The applicant agrees to care for the premises and accept responsibility for damage, and the packet includes an indemnification agreement and a liability insurance certificate form. Review the rules and regulations before applying.
Who needs it
A resident or organization seeking to use a Pleasantville park or facility for an event or group activity should complete this application.
How to submit it
Send the completed application to the Pleasantville Recreation Department, 48 Marble Avenue, Pleasantville, New York 10570, or fax it to 914-579-2106.
About notarization
This document is signed without a notary; the indemnification agreement and liability insurance certificate form are included, but neither calls for notarization.
How to submit this form
- 1
Download The Application
Download the Park and Field Use Application PDF.
- 2
Complete The Application
Provide applicant or organization details, event information, estimated attendance, requested facility, date, and hours.
- 3
Review The Rules And Attachments
Read the rules and regulations and complete the included indemnification agreement and liability insurance certificate form as applicable.
- 4
Submit To The Recreation Department
Send the application to 48 Marble Avenue, Pleasantville, New York 10570, or fax it to 914-579-2106.
Frequently asked questions
- Do I need a notary for the Park and Field Use Application?
- No. The application is signed without a notary. The packet also includes an indemnification agreement and a liability insurance certificate form; neither calls for notarization.
- How do I submit the Park and Field Use Application?
- Send it to the Pleasantville Recreation Department at 48 Marble Avenue, Pleasantville, New York 10570, or fax it to 914-579-2106.
- What information does the application ask for?
- It asks for applicant or organization details, event information, estimated adult and minor attendance, requested park or facility, date, and hours.
- What other documents are included in the packet?
- The packet includes an indemnification and hold harmless agreement and a certificate of liability insurance form.
Need something notarized?
This Park and Field Use Application doesn’t need a notary — but if you have another Pleasantville form that does, a commissioned online notary can help.