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2. PRIMARY CONTACT - Name:*
4. Email Address*
5. Phone Number*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Secondary Contact Name:*
15. Email Address*
16. Phone Number*
18. Provide a description of the event:*
20. Upload your organization's current Certificate of Insurance.*
22. Name and phone number of the Organization Representative that will be on site during the entire event.*
24. Select requested location(s):*

    1. Caryl Park Baseball Diamond
    2. Caryl Park Pickleball/Basketball Court
    3. Caryl Park Multi-Purpose Playfield (field hockey/ soccer/ lacrosse)
    4. Caryl Park Playground
    5. Caryl Park Tennis Courts
    6. Caryl Park Trails
    7. Channing Pond (includes parking lot)
    8. Chickering Playfields: Baseball Diamond

    1. Chickering Multi-Purpose Playfield 1 (soccer/ lacrosse)
    2. Chickering Multi-Purpose Playfield 2 (soccer/ lacrosse)
    3. Chickering Multi-Purpose Playfield 3 (soccer/ lacrosse)
    4. Chickering Multi-Purpose Playfield 4 (soccer/ lacrosse)
    5. Dover Town Common
    6. Dover Town House Parking Lot
    7. Dover Town Library Lawn
    8. Dover Town Library Parking Lot
26. Date Requested:*
    Date Requested:
27. Rain Date:
    Rain Date:
29. Set-Up Start Time:*
    Set-Up Start Time:
30. Event Start Time:*
    Event Start Time:
31. Event End Time:*
    Event End Time:
32. Clean-Up End Time:*
    Clean-Up End Time:
34. Upload any site plans or supporting documents for your event.
36. Are you charging a fee for this event?*
    -- Select One --YESNO
37. If so, how much?
39. Anticipated Number of Attendees/ Participants?*
41. What is your plan to handle trash generated during your event?*
43. What is your inclement weather plan?*
45. Do you need access to electricity?
    -- Select One --YESNOUNSURE

    Please note that not all locations have outdoor electricity installed and power may require a generator, provided by applicant.

46. Will you be using sound equipment?*
    -- Select One --YESNOUNSURE

    (ie: speakers for music/ announcements over microphone or megaphone/ etc.)

48. Estimated Number of Vehicles:*
49. Describe your parking plan.*

    A police detail may be required. (with separate fee to be charged by the Police Department)

51. What additional items will be brought on-site?*

    Examples may include, but are not limited to: tent, grills, inflatables, animals, portable lights - If using an outside vendor, additional certificates of insurance will be required.

    If there will be no additional items, please answer N/A.

53. Are you requesting access to indoor restrooms OR to bring portable restrooms on-site?*
    -- Select One --YESNOUNSURE

    If yes, approvals will be will required of building supervisor(s) OR location(s) will need to be approved, and certificate of insurance required.

55. Will food be served?*
    -- Select One --YESNOUNSURE
57. If you will be serving food, please provide your food plan listing: A) Types of food, B) How it will be served, C) Cooling/ heating methods and D) Whether there will be a fee for food.*

    Please note that additional permit(s) may be required by Town Administration, Board of Health and/or Fire Department. 

     If you are not serving food, please answer N/A.

59. Are you requesting exclusive use?*
    -- Select One --YESNOUNSURE
60. Are signs requested for use at the event?
    -- Select One --YESNOUNSURE
62. Agreement

    I understand that this is a request to permit a field, park and/or playground under the jurisdiction of the Dover Park and Recreation Commission and in the event that property is damaged, the organization listed above shall be charged the full cost of repair and/or renovation, determined by the Dover Parks and Recreation Commission in consultation with the Director of Parks and Recreation.  I further understand that the submission of this request does not guarantee any permit will be approved or issued by the Dover Park and Recreation Commission.

64. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
66. Electronic Signature
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit Submit and Print

* indicates a required field