Fill - Free fillable Borough Field Use Application Pr17 (Borough of Lindenwold) PDF form

PARKS AND RECREATION COMMISSION

BOROUGH OF LINDENWOLD

15 N. WHITE HORSE PIKE

LINDENWOLD NJ 08021

(856)783-2121

(856)782-9446 – fax

Enclosed please find the following:

1. Permit Application

2. Waiver Form

3. Team Roster

4. Rules & Regulations

Fill out the application, waiver form and team roster and submit to the Borough Clerk with an original

Certificate of Insurance listing the Borough of Lindenwold as an additional insured on your policy.

All applications must be submitted at least 60 days prior to the event, (pages 2, 3, & 4) The Borough Clerk

will review the application for completeness and advise the applicant if it is incomplete and what is missing. If

complete the application will be forwarded to the Commission for review and approval if appropriate. The

Committee meets the first Monday of each month, 7:00pm @ Lindenwold Borough Hall,

15 N. White Horse Pike. The application has to be filed in a timely manner.

Should you have any questions please contact Craig Wells at the Public Works Department, 856-783-1848.

Submit all forms to: Borough of Lindenwold

15 N. White Horse Pike

Lindenwold NJ 08021

Attention: Borough Clerk

Print Form

PERMIT APPLICATION

PARKS AND RECREATION COMMISSION

FOR USE OF PARKS AND RECREATION FACILITIES

PLEASE TYPE OR PRINT

DATE________________________________

APPLICANT’S NAME:____________________________________________________________

ORGANIZATION: ________________________________________________________________

ADDRESS:______________________________________________________________________

PHONE: _________________________________________

EMAIL: _________________________________________________________________________

LOCATION/FACILITY REQUESTED: ________________________________________________

BASEBALL FIELD # (if applicable) _______________________________

(Field #1, #2, #3, #4, or #5)

DATES REQUESTED: ______________________________________________________________

(attach schedule if necessary)

HOURS REQUESTED:_____________________________________________________________

(attach schedule if necessary)

TYPE OF PROGRAM/ACTIVITY____________________________________________________

_________________________________________________________________________________

ESTIMATED MAXIMUM CROWD SIZE (for traffic and safety)____________________________

SPECIAL NEEDS (may incur costs)____________________________________________________

NAMES AND ADDRESSES OF OFFICERS AND DIRECTORS (use separate sheet if necessary):

__________________________________________________________________________________

IF APPLICABLE:

NUMBER OF TEAMS _________________ NUMBER OF PARTICIPANTS________________

NAME OF LEAGUES:______________________________________________________________

I HEREBY ACKNOWLEDGE RECEIVING AND READING A COPY OF CHAPTER 160 AND AGREE TO COMPLY WITH

THE RULES AND REGULATIONS SET FORTH.

_________________________________

SIGNATURE

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Hold Harmless

PARKS AND RECREATION COMMISSION

BOROUGH OF LINDENWOLD

15 N. White Horse Pike

Lindenwold, New Jersey 08021

______________________________________________________________________________

Each participator and/or representative of the organization/sponsor must complete and sign a copy of this form to be attached to the

permit application. If additional time is needed to obtain all proper signatures, a request must be made in writing and attached to the

permit application. Failure to submit the hold harmless form will be cause for denial.

______________________________________________________________________________

In consideration for receiving approval to utilize Lindenwold Borough Parks and Recreation Areas, I/We hereby RELEASE, WAIVE,

DISCHARGE, AND COVENANT NOT TO SUE, AND AGREE TO HOLD HARMLESS for any and all purposes the Borough of

Lindenwold FROM ANY AND ALL LIABILITIES, CLAIMS, DEMANDS, DAMAGE TO PROPERTY, OR PERSONAL INJURY,

INCLUDING DEATH, that may be sustained as a result of my/our participation in the ACTIVITY requested or my/our use of

equipment or facilities provided by the BOROUGH OF LINDENWOLD.

I/We fully understand and appreciate the potential dangers, hazards and/or risks, directly and/or

indirectly inherent in participating in the requested activity, which could include but are not limited to the loss of life, serious loss of

limb, or loss of property. My/Our participation in the ACTIVITY is completely voluntary and at my/our own risk.

I/We VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS,

PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH that may be sustained

during or as a result of my participation in the ACTIVITY, WHETHER CAUSED BY AN ACT OF COMMISSION OR OMISSION

on the part of the ORGANIZERS or otherwise. I/WE FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS the

BOROUGH OF LINDENWOLD for any loss, liability, damage or costs, including court costs and attorney’s fees, which may occur

as a result of my/our participation in the ACTIVITY.

It is my/our express intent that this COVENANT NOT TO SUE AND HOLD HARMLESS

agreement shall bind the members of my/our family and spouse, if I/We am alive, and my/our heirs, assigns and personal

representatives, if I/We am deceased.

In signing this COVENANT NOT TO SUE and HOLD HARMLESS agreement, I/We

acknowledge and represent that I/We have read the foregoing COVENANT NOT TO SUE and

HOLD HARMLESS agreement, understand it, and sign it voluntarily at my/our own free act and

deed; no oral representations, statements, or inducements apart from the foregoing agreement that

has been reduced to writing have been made. I/We execute this document for full, adequate and

complete consideration fully intending to be bound by the same, now and in the future.

____________________________________________________________________________

By completing the information and signing below, you agree to the Hold Harmless

conditions stated above.

Name: ________________________________________________________________________

Organization/Sponsor: ___________________________________________________________

Signature: __________________________________Date:_______________________________

TEAM ROSTER

PARKS AND RECREATION COMMISSION

BOROUGH OF LINDENWOLD

This roster must be filled out completely and submitted prior to the start of the event. Please include all

managers and coaches. Add additional sheets if necessary.

TEAM NAME:___________________________________________________

ORGANIZATION: _________________________________________________

LEAGUE: ________________________________________________________

RESPONSIBLE PERSON:

NAME: ____________________________________________

ADDRESS: ___________________________________________________

TELEPHONE: _______________________________________________

Name Street City Telephone

______________________________________________________________________

Chapter 160

PARKS AND RECREATIONAL AREAS

160-1. Permit procedures and standards and Fees

160-2. Permit regulations

160-3. Appeal procedure

160-4. Permittees bound by park rules

160-5. Hours and closings

160-6. Conduct and proper use of parks

160- 7. Liability of permittees

160-8. Revocation of permit

160-9. Enforcement; powers and duties of authorities

160-10. Violations and penalties.

[HISTORY: Adopted by the Mayor and Council of the Borough of Lindenwold: Art. I, 2-27-1980 as Ord. No.

534; Art. II, 4-12-1989 as Ord. No. 806. Section 160-9 amended at time of adoption of Code; see Ch. 1, General

Provisions, Art. I; Amended 10-19-1981 by Ord. No. 587, Amended in entirety 3-12-03 by Ord. No. 1129.

Other amendments noted where applicable.]

GENERAL REFERENCES

Alcoholic beverages in public places -- See Ch. 163.

Firearms, fireworks and hunting -- See Ch. 109.

Peace and good order -- See Ch. 163.

~160-1. Permit procedures and standards and Fees

The Lindenwo1d Borough Department of Parks and Playgrounds shall determine the use of all borough Parks

and Playgrounds by groups and organizations through the issuance of permits. The permit shall designate the

group or organization authorized to use the field or fields it is permitted to use and the dates and times on which

the use is permitted.

Permits shall be obtained by application to the Board of Parks and Recreations Commission in accordance with

the following procedure:

A. Applications can be obtained from the Borough Clerk and also returned to the Borough Clerk.

The Borough Clerk will review for completeness (checklist provided) and date sensitive

applications. If application is incomplete it will be immediately returned to the applicant and

missing information identified. If it is date sensitive the Chairperson will be immediately notified

so a determination can be made to hold an emergency meeting if needed.

B. A person seeking issuance of a permit hereunder shall file an application with the Board of Parks

and Recreations Commission, stating:

(1) The name and address of the applicant.

(2) The name and address of the person, persons, corporation or association sponsoring the

activity, if any.

(3) The date, day and hours for which the permit is desired.

(4) The park or portion thereof for which such permit is desired.

(5) Any other information which the Board of Parks and Recreations Commission shall find

reasonably necessary to a fair determination as to whether a permit should be issued

hereunder.

C. Standards for issuance of a use permit by the Board of Parks and Recreations Commission

include the following findings:

(1) That the proposed activity or use of the park will not unreasonably interfere with or

detract from the general public enjoyment of the park.

(2) That the proposed activity and use will not unreasonably interfere with or detract from

the promotion of public health, welfare, safety and recreation.

(3) That the proposed activity or uses that are reasonably anticipated will not include

violence, crime or disorderly conduct.

(4) That the proposed activity will not entail extraordinary or burdensome expense of police

operation by the Borough of Lindenwold.

(5) That the facilities desired have not been reserved for other use at the date and hour

requested in the application.

D. In order to qualify to be considered for the issuance of a permit to use any of the borough's fields

or facilities, one must do the following:

(1) Submit a complete team roster or a participant list with the name addresses and phone

numbers of all members, prior to the start of the event.

(2) Present proof of liability insurance in the minimum amount of $1,000,000 covering the

use of the Park and Recreation Area to be used. The Borough of Lindenwold must be

named as an additional insured. Waiver of the insurance may be applied for depending

the requested use.

E. Fee Schedule

(1) If the participants in the event consist of 50% Lindenwold residents there is no fee. If

50% are not Lindenwold residents a fee will be assessed per the following fee schedule.

All permits are final, no Refunds.

a. Ball Fields

Two hours for one ball field:

Daylight hours (Monday – Friday) $75.00

(Saturday & Sunday) $100.00

With lights (Monday – Friday) $100.00

(Saturday & Sunday) $125.00

All day for one ball field:

Daylight hours (Monday – Friday) $150.00

(Saturday & Sunday) $200.00

With lights

(Monday – Friday) $200.00

(Saturday & Sunday) $250.00

Security Deposit $200.00

Security Fee for Bases $350.00

Security Fee for Key (Bathroom Garage, Etc.) $25.00

per key

b. Tournament Fee (4 day maximum) $1,500.00

Security Fee $500.00

c. All Other Recreational Activities (Birthday Parties, etc. – Non Residents)

Two hours:

Daylight $25.00

All day:

Daylight $55.00

Security Deposit $75.00

d. Non-Recreational Activities – e.g. flea market, car show, auction

Four hours:

Daylight $150.00

With lights $225.00

All day:

Daylight $250.00

With lights $300.00

Security Deposit $400.00

*Security Fee for Key (Bathroom Garage, Etc.) $25.00

per key

e. Stage – e.g. musical shows, theater acts, concerts, fashion show, awards or recognition

Presentation. (Sound Equipment & Speakers Not Available)

One hour:

Daylight $100.00

With lights $250.00

Four hours:

Daylight $350.00

With lights $450.00

Security Deposit $300.00

f. Basketball Courts

Two Hours per Court $30.00

Two Hours All Courts $150.00

g. Police Protection (Per Officer)

First hour $100.00

Each additional hour (Per Officer) $65.00

Plus overtime expense if necessary

h. Public Works Assistance

Per hour per employee $50.00

(2) The Board shall designate the Director of Public Works or his designee to inspect the

facilities being used by the permit holder prior to that use and after that use. The Director of Public

Works or his designee shall determine whether or not the permitted premises have been left in

reasonably the same condition as existed prior to the use. In the event that is the case, the Director of

Public Works or his designee shall notify the Borough Clerk of such and the security deposit will be

returned forthwith. If the Director of Public Works or his designee reveals damage and/or lack of

cleanup to the permitted premises, the Director of Public Works or his designee shall notify the Borough

Clerk who shall not release the security deposit. Director of Public Works shall determine any

necessary work to be done to return the permitted premises to it’s before use status. Thereafter, the

Director of Public Works shall notify the Borough Clerk as to the cost of the work based upon employee

hours times the hourly rate plus 20%. The Borough Clerk shall deduct that cost from the security

deposit and return the balance to the permit holder. In the event there is not sufficient deposit to pay

for the work, the permit holder shall be responsible for payment of any excess amount and shall not be

permitted to receive any additional permits until payment is made. The Borough may also pursue any

legal remedies it may have in such a situation.

~160-2. Permit regulations

Any group or organization, which has received a permit, shall be responsible for seeing that the following

conditions are adhered to:

A. The permit shall not be transferred or assigned. The permit holder or designated representative

must be present whenever the field is in use during the time of its permit.

B. No alcoholic beverages are permitted at any time by anyone during the use of the fields,

including the team players and spectators. The permit holder shall be responsible for enforcing

this condition.

C. The permit holder shall be responsible for any and all illegal acts by spectators and team

member, including the opposing team.

D. The permit holder shall be responsible for ensuring that team members and spectators adhere to

no-parking regulations at and near the field in use.

~160-3. Appeal procedure

A. Within five days after the receipt of an application, the Board of Parks and Recreations

Commissioners shall apprise an applicant in writing of its reasons for refusing a permit, and any

aggrieved person shall have the right to appeal to the Borough Council of the Borough of

Lindenwold by serving written notice thereof on the Clerk of the Borough of Lindenwold within

five days of said refusal.

B. A copy of said notice shall also be served on the Board of Parks and Recreations Commissioners

within the same time, and said Committee shall immediately forward the application and the

reasons for its refusal to the Borough Council of the borough of Lindenwold, who shall consider

the application under the standards set forth under 160-3B hereof and sustain or overrule Board

of Parks and Recreations Commissioners decision within 10 days from the receipt of the appeal

by it. The decision of the Borough Council of the Borough of Lindenwold shall be final.

~160-4. Permittees bound by park rules

All park rules and regulations and all applicable ordinances shall bind a permittee fully as though the same were

inserted in the permit.

~160-5. Hours and closings

A. Except for unusual and unforeseen emergencies, parks shall be open to the public every day of

the year during the designated hours. The opening and closing hours for each individual park

shall be posted therein for public information.

B. Any section or part of any park may be declared closed to the public at any time and for any

interval of time, either temporarily or at regular and stated intervals (daily or otherwise) and

either entirely or merely for certain uses.

~160-6. Conduct and proper use of parks

A. No person in a public park and recreational area shall:

(1) Willfully mark, deface, disfigure, injure, tamper with or displace or remove any

buildings, bridges, tables, benches, fireplaces, railing, paving’s or paving materials,

waterlines or other public utilities or parts or appurtenances thereof, signs, notices or

placards, whether temporary or permanent, monuments, stakes, posts or other boundary

markers or other structures or equipment, facilities or park property or appurtenances

whatsoever, either real or personal.

(2) Fail to cooperate in maintaining rest rooms and washrooms in a neat and sanitary

condition. No person above the age of five years shall use the rest rooms and washrooms

designated for the opposite sex.

(3) Dig or remove any soil, rock, sand, stones, trees, shrubs or plants or other wood or

materials, or make any excavation by tool, equipment, blasting or other means or agency.

(4) Construct or erect any building or structure of whatever kind, whether permanent or

temporary, or run or string any public service utility into, upon or across such lands,

except on special written permit issued hereunder.

(5) Damage, cut, carve, transplant or remove any tree or plant, or injure the bark or pick

flowers or seed of any trees or plant, or dig in or otherwise disturb grass areas or in any

other way injure the natural beauty or usefulness of any area.

(6) Climb any tree, or walk, stand or sit upon monuments, vases, planters, fountains, railings,

fences or upon any other property not designated or customarily used for such purposes.

(7) Tie or hitch an animal to any tree or plant.

(8) Hunt, molest, harm, frighten, kill, trap, pursue, chase, tease, shoot or throw missiles at

any animal, wildlife, reptile or bird; or remove or have in his possession the young of any

wild animal or the eggs or nest or young of any reptile or bird. Exception to the foregoing

is made in that snakes known to be deadly poisonous or deadly reptiles may be killed on

sight.

(9) Throw, discharge or otherwise place or cause to be placed in the waters of any fountain,

pond, lake, stream or other body of water in or adjacent to any park or any tributary

stream, storm sewer or drain flowing into water, any

substance, matter or thing, liquid or solid, which will or may result in the pollution of

said waters.

(10) Have brought in or dump in, deposit or leave any bottles, broken glass, ashes, paper,

boxes, cans, dirt, rubbish, waste, garbage, refuse or other trash. No such refuse or trash

shall be placed in any waters in or contiguous to any park or left anywhere on the

grounds thereof, but shall be placed in the proper receptacles where these are provided;

where receptacles are not provided, all such rubbish or waste shall be carried away from

the park by the person responsible for its presence and properly disposed of elsewhere.

(11) Drive any vehicle on any area except the paved park roads or parking areas or such areas

as may on occasion be specifically designated as temporary areas.

(12) Park a vehicle in other than an established or designated parking area and such shall be in

accordance with posted direction there at and with the instruction of any attendant who

may be present.

(13) Leave a vehicle standing or parked at night in established parking areas or elsewhere in

the park area.

(14) Leave a bicycle in a place other than a bicycle rack when such is provided and there is

space available.

(15) Ride a bicycle without reasonable regard for the safety of others.

(16) Leave a bicycle lying on the ground or pavement or set against trees or in any place or

position where other persons may trip over or be injured by it.

(17) Swim, bathe or wade in any waters or waterways in or adjacent to any park, except in

such waters and at such places as are provided therefore and in compliance with such

regulations as are herein set forth or may be hereinafter adopted. Nor shall any person

frequent any waters or places customarily designated for the purposes of swimming or

bathing, or congregate thereat, when such activities are prohibited by Board of Parks and

Recreations Commission upon a finding that such use of the water would be dangerous or

otherwise inadvisable.

(18) Frequent any waters or places designated for the purposes of swimming or bathing, or

congregate there at, except between such hours of the day as shall be designated by the

Board of Parks and Recreations Commission for such purposes for each individual site.

(19) Erect, maintain, use or occupy on or in any beach or bathing area any tent, shelter or

structure of any kind unless there shall be an unobstructed view into said tent, shelter or

structure from at least two sides, nor shall any guide wire, rope or extension brace or

support be connected or fastened from any such structure to any other structure, stake,

rock or other object outside thereof.

(20) Allow his/her person to be so covered with a bathing suit as to indecently expose his/her

person.

(21) Dress or undress on any beach or in any vehicle, toilet room or other place, except in

such bathing houses or structures as may be provided for that purpose.

(22) Bring into any waters or operate therein any boat, raft or other watercraft, whether motor-

powered or not, except at places designated for boating. Such activity shall be in

accordance with applicable regulations as are now or hereafter may be adopted.

(23) Navigate, direct or handle any boat in such a manner as to unjustifiable or unnecessarily

annoy or frighten or endanger the occupant of any other boat.

(24) Launch, dock or operate any boat of any kind on any water between the closing hour of

the park at night and the opening hour of the park the following morning, nor shall any

person be on or remain on or in any boat during said closed hours of the park.

(25) Fish in any area where bathing is permitted.

(26) Carry or possess firearms of any description or air rifles, spring guns, bows and arrows,

slings or any other forms of weapons potentially inimical to wildlife and dangerous to

human safety, or any instrument that can be loaded with and fire blank cartridges, or any

kind of trapping device. Shooting into park areas from beyond park boundaries is

forbidden.

(27) Picnic or lunch in a place other than those designated for that purpose.

(28) Use any portion of the picnic area or any of the buildings or structures therein for the

purpose of the holding picnics to the exclusion of other persons, nor shall any person use

such areas and facilities for any unreasonable time if the facilities are crowded.

(29) Leave a picnic area before all trash is placed in the disposal receptacles where provided.

If no such trash receptacles are available, then trash shall be carried away from the park

area by the picnicker, to be properly disposed of elsewhere.

(30) Take part in or abet the playing of any games involving thrown or otherwise propelled

objects, such as balls, stones, arrow, javelins, horseshoes, quoits or model airplanes,

except in those areas set apart for such forms of recreation.

B. While in a Public Park or recreational area, all persons shall conduct themselves in a proper and

orderly manner, and in particular no person shall:

(1) Bring alcoholic beverages, drink it at any time nor be under the influence of intoxicating

liquor in a park.

(2) Have in his possession or set or otherwise cause to explode or discharge or burn any

firecrackers, torpedo rockets or other fireworks, firecrackers or explosives of flammable

material, or discharge them or throw them into any such areas from lands or highways

adjacent thereto. This prohibition includes any substance, compound, mixture or article

that in conjunction with any other substance or compound would be dangerous from any

of the foregoing standpoints. At the discretion of the Board of Parks and Recreations

Commission, permits may be given for conducting properly supervised fireworks in

designated park areas.

(3) Appear at any place in other than proper clothing.

(4) Solicit alms or contributions for any purpose, whether public or private.

(5) Build or attempt to build a fire. No person shall drop, throw or otherwise scatter lighted

matches, burning cigarettes or cigars, tobacco paper or other flammable material within

any park or on any highways, roads or streets abutting or contiguous thereto.

(6) Enter an area posted as "Closed to the Public," nor use or abet in the use of any area in

violation of posted notices.

(7) Gamble or participate in or abet any game of chance except in such areas and under such

regulations as may be designated by the Board of Parks and Recreations Commission.

(8) Go onto the ice or any of the waters.

(9) Sleep or protractedly lounge on the seats or benches or other areas, or engage in loud,

boisterous, threatening, abusive, insulting or indecent language, or engage in any

disorderly conduct or behavior tending to breach the public peace.

(10) Disturb or interfere unreasonably with any person or party occupying any area or

participating in any activity under the authority of a permit.

(11) Paste, glue, tack or otherwise post any sign, placard, advertisement or inscription

whatever, nor erect or cause to be erected any sign whatever on any public lands or

highways or roads adjacent to a park.

~160-7. Liability of permittees

The person or persons to whom the permit is issued shall be liable for all loss; damage or injury sustained by

any person whatever by reason of the negligence of the person or persons to who such permit shall have been

issued.

~160-8. Revocation of permit

The Board of Parks and Recreations Commission shall have the authority to revoke to revoke a permit upon a

finding of violation of any rule or ordinance or upon good cause shown.

~160-9. Enforcement; powers and duties of authorities

A. The Board of Parks and Recreations Commission and park attendants shall, in connection with

their duties imposed by law, diligently enforce the provisions of this article.

B. This article shall also be enforced by the Police Department of the Borough of Lindenwold.

~160-10. Violations and penalties.

Any person violating any of the provisions of this article or any rule or regulation promulgated pursuant hereto

shall, upon conviction, be subject to the replacement, repair or restoration of any damaged park property and

shall be subject to a fine not exceeding $500, and in default of payment thereof, may be sentenced to

imprisonment in the county jail, in the discretion of the Judge, for a term not exceeding 90 days.

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