APPLICATION AND AGREEMENT FOR THE USE OF VILLAGE PROPERTY BETWEEN THE VILLAGE OF PORT BARRINGTONApplication and Agreement for Use of Village Property • May 18th, 2022
USER/LICENSEE INFORMATION (“the Applicant” or “the User/Licensee”): Name of Applicant, if Different from User/Licensee Village Resident Non-Resident Name of User/ Licensee Organization Mailing Address of Applicant or User/Licensee Organization E-Mail Address of Applicant or Contact Person at Organization: Telephone No(s).: Name and Telephone No(s). of Contact(s) for User/Licensee Organization: Name: Phone No.: _Email: _ Name: Phone No.: Email: Name: Phone No.: Email: Is the proposed use for commercial purposes? YES NO (If “yes”, non-resident user rates will apply) FACILITY AND/OR SITE TO BEUSED (Describe specific portion(s), if applicable) (“the Village Property”): Village Community Room (Maximum capacity: 50 35 persons)Village Park (Specify) Other Village Property (Specify) PROPOSED EVENT (“scheduled event” or “event”) USE PERIOD(Unless terminated earlier by the Village): Date(s) or Period of Use: Hours of Use: Reserved Rain Date(s), if any: PURPOSE OF USE: Board Meeti
