Fillable CITY OF WORCESTER 2021 PERMIT APPLICATION FOR EVENT (City of Worcester)

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CITY OF WORCESTER 2021 PERMIT APPLICATION FOR EVENT (City of Worcester)

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1
INITIALS
FOR PARKS OFFICE USE ONLY:
CITY OF WORCESTER
DEPARTMENT OF PUBLIC WORKS AND PARKS
Parks, Recreation and Cemetery Division 50 Skyline Drive Worcester, MA 01605-2898
Jay J. Fink, P. E.
Commissioner
Edward M. Augustus, Jr., City Manager
Robert C. Antonelli, Jr., CPRP
Assistant Commissioner
(508) 799-1190
(508) 799-1293 FAX
2021 PERMIT APPLICATION FOR EVENT IN A PARK
NAME OF REQUESTED FACILITY: TODAY’S DATE:
NAME OF ORGANIZATION WEBSITE:
NAME OF APPLICANT: EMAIL:
ADDRESS: CITY STATE ZIP
CELL PHONE# WORK PHONE #
EVENT DATE: RAIN DATE: START TIME: END TIME
SET UP DATE & TIME: BREAKDOWN DATE & TIME:
*STAFF WILL BE ASSIGNED FROM THE BEGINNING OF THE SET UP UNTIL EVERYONE IS GONE*
DESCRIBE EVENT IN DETAIL: _
_
HAVE YOU EVER HAD A SIMILAR PERMIT: YES NO ESTIMATED # OF PEOPLE TO ATTEND:
(IF AMOUNT IS UNKNOWN A MAXIMUM NUMBER WILL BE ASSUMED)
WILL YOU BE CHARGING ADMISSIONS OR SELLING ANY ITEMS AT THIS EVENT? YES NO
⇒ Alcoholic beverages are NOT allowed in parks facilities (see item 21 on the rules and regulations)
⇒ Bancroft Tower Operational Hours: Sunrise to 8:00 PM
⇒ No Smoking in Parks and Open Spaces as per city ordinance
⇒ NO Drones, radio control vehicles (Land, Air, or Water) without issued permit from the Parks administration office
⇒
The City reserves the right to minimize or cancel use of facilities based on renovations and maintenance.
⇒ No refunds will be given if event is not cancelled in writing in the required time frame (see Cancellation Policy Page3)
⇒ The City of Worcester DPW & Parks, Parks, Recreation & Cemetery Division requires staff at any and all events/permits for the
duration of the event including event set up and breakdown this and other requirements will be determined on a case by case basis.
Staff fees will apply ($55.00 per hour minimum of 4 hours)
⇒ Permittee shall not begin set up or breakdown within the park until park staff is on site.
⇒ Vehicles are prohibited in any park grass areas, on any sidewalks or on the Worcester Common.
⇒ The City of Worcester DPW & Parks, Parks, Recreation & Cemetery Division requires that the undersigned submit proof of liability
insurance with a minimum of $1 Million in Commercial General Liability and a policy endorsement which indemnifies and holds
harmless the City of Worcester, DPW & Parks, Parks, Recreation & Cemetery Division and Parks & Recreation Commission. Some
events may require a higher limit of Insurance. The City of Worcester is not responsible for any accidents or damages to persons or
property resulting from the issuance of this permit.
⇒ DOWN PAYMENT: A $100.00 NON-REFUNDABLE DOWN PAYMENT WILL BE REQUIRED AT THE TIME OF REQUEST
IN ORDER TO HOLD DATES. NO DATES WILL BE HELD WITHOUT THE DOWN PAYMENT.
2
INITIALS
PLEASE INDICATE BELOW ANY ITEMS PERTAINING TO YOUR EVENT AND FOLLOW INSTRUCTIONS ON THE
FOLLOWING PAGES, WHICH CONTAIN INFORMATION NECESSARY FOR YOU TO OBTAIN OTHER PERMITS
REQUIRED BY THE CITY OF WORCESTER FOR YOUR EVENT (USEFUL PHONE NUMBERS ARE ON PAGE 4)
YES NO
TRASH: WILL YOU BE CLEANING AND REMOVING TRASH?
A CLEAN UP PLAN WILL BE REQUIRED IN WRITING PRIOR TO OBTAINING A PERMIT.
DUMPSTERS WILL NOT BE ALLOWED IN THE PARK OR LEFT OVERNIGHT.
TRASH: WILL YOU BE REQUESTING THE CITY TO BE RESPONSIBLE TO REMOVE AND DISPOSE OF TRASH?
A STARTING FEE OF $400.00 WILL APPLY FOR REMOVAL/DISPOSAL OF TRASH FROM YOUR EVENT
THE FEE WILL INCREASE BASED ON THE AMOUNT OF TRASH/PARTICIPANTS/EVENT SIZE ETC. THIS FEE
DOES NOT INCLUDE FACILITY CLEAN UP A MINIMUM OF $220.00 WILL BE CHARGED FOR TRASH PICKE UP
THROUGHOUT THE FACILITY. FACILITY.THIS FEE DOES NOT INCLUDE FACILITY CLEAN UP. IT IS INTENDED FOR
ONLY REMOVAL & DISPOSAL OF TRASH FROM A SINGLE AGREED UPON LOCATION. TRASH/DEBRIS IN OTHER
AREAS ARE THE RESPONSIBILITY OF THE PERMITTEE.
RESTROOMS: WILL YOU BE REQUESTING USE OF FACILITY RESTROOMS? (IF AVAILABLE AT FACILITY)
STAFF WILL BE REQUIRED TO OPEN AND CLOSE RESTROOMS
PORTABLE RESTROOMS: WILL YOU HAVE PORTABLE RESTROOMS? PLEASE PROVIDE INFORMATION
COMPANY
(PORTABLE RESTROOMS MUST BE REMOVED IMMEDIATELY AFTER EVENT COMPLETION. PLEASE IDENTIFY THE
LOCATION OF PORTABLE RESTROOMS ON THE SITE MAP)
All events with portable restrooms must have a minimum of (1) one, or 5% of the total restrooms provided must be accessible.
All events with portable restrooms are required to have a minimum of (1) one accessible unit at each cluster/group.
Each accessible restroom must be placed off of an accessible surface for ease of access.
_
ELECTRICITY: WILL YOU BE REQUESTING THE USE OF OUR ELECTRICITY?
PLEASE SPECIFY INTENDED USE – STANDARD 110 PLUGS? HOW MANY AND FOR WHAT PURPOSE
PLEASE EXPLAIN
YOU WILL NEED TO PROVIDE YOUR OWN EXTENSION CORDS
AN ADDITIONAL FEE WILL BE CHARGED FOR ELECTRIC USE $25/HR (FOR PLUGGING INTO OUTLETS)
PLEASE EXPLAIN ANY ADDITIONAL NEED OF ELECTRICITY OTHER THEN STANDARD PLUGS
GENERATOR: WILL A GENERATOR BE USED AT THIS EVENT? (A PERMIT IS REQUIRED FROM INSPECTIONAL
SERVICES FOR THE USE OF A GENERATOR, PLEASE INDICATE ON THE MAP THE LOCATION OF THE
GENERATOR (PHONE NUMBER LISTED ON PAGE 4 OF THIS APPLICATION)
INSPECTIONAL SERVICES OFFICIAL SIGNATURE: _
FOOD: WILL YOU HAVE FOOD? (ANY TYPE OF FOOD THAT HAS NOT BEEN PREPARED IN A LICENSED
KITCHEN WILL REQUIRE A FOOD PERMIT FROM INSPECTIONAL SERVICES. PHONE # PAGE 4)
INSPECTIONAL SERVICES OFFICIAL SIGNATURE:
*AN OIL DISPOSAL PLAN NEEDS TO BE SUBMITTED SEPARATE FROM APPLICATION*
* OIL WILL NOT BE ALLOWED TO BE DISPOSED OFF IN THE SEWER DRAINS *
FOR POLICE USE ONLY:
EVERYONE REQUESTING A PARK PERMIT WILL NEED TO NOTIFY THE POLICE DEPARTMENT OFF-DUTY OFFICE
AND HAVE THEM COMPLETE AND SIGN BELOW IN REFERENCE TO POLICE SUPERVISION AND/OR SOUND
PERMITS. THE OFF DUTY POLICE WILL DETERMINE THE NEED FOR POLICE SUPERVISION AND THE NUMBER OF
OFFICERS IF REQUIRED. THERE ARE NO EXCEPTIONS TO THIS REQUIREMENT.
WILL THIS EVENT NEED POLICE SUPERVISION YES NO IF YES, NUMBER OF OFFICER’S
WILL THIS EVENT REQUIRE A SOUND PERMIT: YES NO
HAS A SOUND PERMIT BEEN OBTAINED: YES NO? COPY OF PERMIT REQUIRED TO BE ATTACHED
NAME & TITLE OF POLICE DEPARTMENT OFFICIAL:
OFFICIAL SIGNATURE: DATE:
3
GRILLS: WILL YOU BE USING GRILLS? (A PERMIT FROM FIRE PREVENTION MAY BE REQUIRED IF USING
PROPANE OPERATED GRILLS. ANYTHING LESS THAN 42 POUNDS OF PROPANE WILL NOT REQUIRE A PERMIT
PER STATE FIRE CODE. MORE THAN TWO STANDARD SIZE TANKS WILL REQUIRE A PERMIT. WHENEVER
CHARCOAL GRILLS ARE USED IT IS THE RESPONSIBILITY OF THE
APPLICANT TO REMOVE ALL CHARCOAL DEBRIS
FROM THE FACILITY. PLEASE IDENTIFY THE LOCATION OF THE GRILL/S ON A SITE MAP PHONE # PAGE 4)
FIRE DEPARTMENT OFFICIAL SIGNATURE:
TENTS: WILL YOU BE USING TENTS? (ALL TENTS MUST BE STAKELESS) TENTS THAT ARE LARGER
THEN 10’ X 10’ WILL REQUIRE A PERMIT FROM INPECTIONAL SERVICES
TYPE OF TENT SIZE OF TENT_
WHEN SECURING TENTS, THE METHOD OF SECURING CAN NOT BE CONCRETE ONLY, ALL CONCRETE MUST
BE COVERED WITH PLASTIC TO AVOID DAMAGE TO PARKS PROPERTY
INSPECTIONAL SERVICES OFFICIAL SIGNATURE:
INFLATABLE DEVICES: WILL YOU BE USING ANY INFLATABLE DEVICES OR AMUSEMENTS? (ALL UNITS
MUST BE STAKELESS. PLEASE INDICATE THE LOCATION OF THE RIDE/S ON A SITE MAP.)
WHEN SECURING INFLATABLE DEVICES THE METHOD OF SECURING CAN NOT BE CONCRETE ONLY,
ALL CONCRETE MUST BE COVERED WITH PLASTIC TO AVOID DAMAGE TO PARKS PROPERTY
TABLES AND CHAIRS: WILL YOU BE USING TABLES AND CHAIRS? (PLEASE IDENTIFY LOCATION OF
TABLES AND CHAIRS ON A SITE MAP. THE CITY DOES NOT SUPPLY ANY EXTRA TABLES AND CHAIRS)
EMS: WILL YOU HAVE EMS SERVICES AVAILABLE? THIS IS NOT MANDATORY BUT RECOMMENDED
THE PHONE NUMBER IS LISTED ON PAGE 4 OF THIS APPLICATION
AMPLYFYING SYSTEM: ARE YOU USING ANY TYPE OF AMPLIFYING SYSTEM? IF YOU ARE YOU WILL NEED A
SOUND PERMIT FROM THE POLICE DEPARTMENT AND WILL NEED TO SCHEDULE THE EVENT OUTSIDE OF
BUSINESS HOURS WHENTHE EVENT IS IN A BUSINESS AREA SUCH AS CITY HALL OR THE WORCESTER COMMON
(SEE RULES AND REGULATIONS FOR SOUND ORDINANCE)
PLEASE INDICATE THE LOCATION OF THE AMPLIFYING SYSTEM ON A SITE MAP
BANNERS: WILL YOU BE USING ANY BANNERS? (NO NAILS OR STAPLES ALLOWED, ONLY ROPE OR TAPE)
ALL BANNER LOCATIONS MUST BE APPROVED
A $110.00 FEE WILL APPLY FOR HANGING AND TAKING DOWN OF BANNERS BY PARKS STAFF
BIG BANNERS THAT NEED TO BE PUT UP ON TREES WILL ONLY BE ALLOWED BY PARKS STAFF
PORTABLE STAGE: WILL YOU BE USING OUR STAGE? (IF PARKS PORTABLE STAGE WILL COST A FLAT FEE OF
$880.00)
THE STAGE IS 24’ (L) X 24’ (D) X 4’ (H) FULLY OPEN, OR 24’ (L) X 15.6’ (D) X 4’ (H) WITH AN 8.6’ HIGH WALL IN
BACK (PLEASE INDICATE LOCATION OF PORTABLE STAGE ON A SITE MAP).
PLEASE NOTE: A separate application is required for the use of the portable stage.
PLEASE NOTE: This stage is not accessible.
PARKING PLAN: YOU WILL HAVE TO SUBMIT AN ALTERNATIVE PARKING PLAN FOR THE FACILITIES THAT DO NOT HAVE
ENOUGH PARKING FOR YOUR EVENT. PARKING ON SIDEWALKS OR GRASS AREAS WILL NOT BE ALLOWED AND FEES WILL BE
APPLIED FOR ANY DAMAGE TO IRRIGATION SYSTEMS OR GRASS. ALSO PERMIT HOLDER WILL BE RESPONSIBLE TO
INFORM/ADVICE ALL EVENT PARTICIPANTS ON LEGAL AND PROPER PARKING ON CITY PROPERTY.
RAIN/WET CONDITIONS: IF THERE ARE PUDDLES ON THE FIELDS AND/OR YOU STEP ON ANY PORTION OF THE FIELD AND IF
WATER SQUISHES OUT FROM UNDER YOUR SHOE, THE FIELD IS CLOSED WITH NO GAME PLAY AND/OR PRACTICE. PLAYING ON
WET FIELDS POSES A SAFETY HAZARD AND CAUSES SEVERE FIELD DAMAGE
PERMITS FROM OTHER CITY DIVISIONS: IT IS YOUR RESPONSIBILITY TO OBTAIN ALL NECESSARY PERMITS AS STATED
ABOVE AND SUBMIT COPIES TO OUR DEPARTMENT PRIOR TO FINAL APPROVAL OF PERMIT. PARK PERMITS WILL NOT BE
ISSUED UNLESS PERMITTEE HAS OBTAINED ALL NECESSARY PERMITS FOR THEIR EVENT.
CLEAN UP OF PARK AT COMPLETION OF EVENT: THE PARK MUST BE LEFT IN THE SAME CLEAN AND FREE OF PORTABLE
TOILETS/DUMPSTERS OR ANY FENCING OR ANY MATERIAL USED FOR A SPECIFIC EVENT. PARK MUST BE LEFT READILY
AVAILABLE FOR OTHER PARK USERS. ANY ADDITIONAL DATES REQUIRED WILL BE CHARGED AN ADDITIONAL FEE.
FEES: VARY BASED ON EVENT TYPE. ALL PERMITS WILL HAVE A BASE PERMIT FEE AND SOME WILL HAVE ADDITIONAL FEES
FOR STAFF, CLEAN UP, TRASH DISPOSAL OR ELECTRICAL. SOME EVENTS MAY REQUIRE STAFF EVEN IF NOT REQUESTED BY
PERMITTEE, THIS WILL BE DETERMINED BY THE CITY OF WORCESTER DPW & PARKS, PARKS, RECREATION AND CEMETERY
DIVISION BASED ON THE MAGNITUDE OF THE EVENT. CASH IS NOT ACCEPTED (CHECKS, MONEY ORDERS or CREDIT CARDS
ONLY). FEES ARE DUE 1 MONTH PRIOR TO THE EVENT DATE.
FINAL PAYMENT: THE BALANCE WILL BE DUE 1 MONTH PRIOR TO EVENT DATE. PAYMENTS MADE LESS THEAN 1 MONTH
BEFORE EVENT WILL REQUIRE A CERTIFIED FINAL PAYMENT: BANK CHECK OR MONEY ORDER.
CANCELLATION POLICY: A 24-HOUR WRITTEN CANCELLATION NOTICE IS REQUIRED TO AVOID ADDITIONAL FEES. A $125.00
OR 10% OF TOTAL FEE WHICHEVER IS HIGHER WILL BE CHARGED FOR CANCELLATIONS. ALL WEEKEND/HOLIDAY
4
INITIALS
CANCELLATIONS MUST BE RECEIVED BY 12:00 PM ON THE LAST BUSINESS DAY PRIOR TO YOUR EVENT AND MUST BE
CONFIRMED/APPROVED BY THE DPW & PARKS – PARKS, RECREATION & CEMETERY DIVISION STAFF.
CONFIRMATION/APPROVAL IS DEEMED CONFIRMED WHEN THE EVENT REPRESENTATIVE RECEIVES A WRITTEN
CONFIRMATION FROM THE PARKS DIVISION ADMINISTRATIVE OFFICE. REFUNDS WILL NOT BE GIVEN TO ANYONE WHO DOES
NOT GIVE A 24 HR CANCELLATION AND THEY WILL BE CHARGED THE FULL EVENT FEE.
RAIN DATE WILL BE GIVEN AT THE TIME OF REQUEST NOT AFTER AND IT WILL ONLY BE HONORED IF CANCELLED AND
RESCHEDULED IN TIME.
STAFF FEE: WILL BE A MINIMUM OF $220.00 FOR A 4 HOUR PERIOD. ANY ADDITIONAL HOUR AFTER THE 4 HOURS WILL COST
$55.00 PER HOUR. PLEASE NOTE THAT BASED ON YOUR REQUEST THE FEE MIGHT CHANGE TO ADD OTHER COST FOR
ELECTRICAL NEEDS OR REMOVAL/DISPOSAL OF TRASH FROM EVENT.
ALCOHOLIC BEVERAGES: NO PERSON SHALL DRINK ANY ALCOHOLIC BEVERAGE AS DEFINED IN CHAPTER 138, SECTION 1 OR
THE MASSACHUSETTS GENERAL LAWS WHILE ON, IN, OR UPON ANY FACILITY UNDER THE JURISDICTION OF THE DPW & PARKS
-
PARKS, RECREATION & CEMETERY DIVISION.
PLEASE NOTE IF ADMISSION IS TO BE CHARGED OR EVENT IS OF A LARGE CAPACITY SUCH AS CONCERTS AND FESTIVALS:
CHARGING ADMISSION AT EVENT: IF ADMISSION FEE IS CHARGED FOR EVENT A PERMIT REQUEST AND A FULL PROPOSAL
NEEDS TO BE SUBMITTED TO THE PARKS & RECREATION COMMISSION THREE (3) MONTHS BEFORE THE EVENT DATE. THE
PROPOSAL IS TO INCLUDE ALL EVENT DETAILS AS LISTED IN THIS PERMIT APPLICATION, AND MEET REQUIREMENTS AS SET
FORTH BY THE PARKS, RECREATION AND CEMETERY COMMISSION.
THERE SHALL BE NO TRANSFERRING OF PERMITS FROM ONE ORGANIZATION TO ANOTHER.
CURRENT CONSTRUCTION: IT IS THE RESPONSIBILITY OF THE PERMITTEE TO ENSURE THAT CONSTRUCTION AREAS IN PARKS
ARE NOT DISTURBED OR MOVED. FEES WILL BE CHARGED FOR ANY REPAIRS NEEDED DUE TO ANY DAMAGE DONE BY ANY
EVENT.
APPROVAL OF PERMIT: THERE WILL BE NO GUARANTEES MADE IN THE APPROVAL PROCESS IF PROPOSAL/PERMIT
APPLICATION IS RECEIVED BY THE DPW & PARKS - PARKS, RECREATION & CEMETERY DIVISION AFTER THE THREE- (3) MONTH
REQUIRED PERIOD. APPROVAL OR DENIAL WILL BE ON A CASE-BY-CASE BASIS.
IT WILL BE NECESSARY TO OBTAIN A LICENSE FROM THE LICENSE COMMISSION, AND SUBMIT A COPY WITH THIS
APPLICATION AT THE TIME OF PERMIT PROCESS COMPLETION.
PERSONAL FLOTATION DEVICES/US COAST GUARD CERTIFIED LIFE JACKETS FOR BEACH FACILITIES:
THE PERMITTEE SHALL BE RESPONSBILE FOR MEETING AND EXCEEDING ALL REQUIREMENTS OF “CHRISTIANS LAW” WHICH
INCLUDES THE FOLLOWING:
1)
PROVIDE A PROPERLY SIZED AND SNUG FITTING TYPE I, II, OR III PFD TO ALL MINOR CHILDREN DETERMINED TO BE
EITHER A NON-SWIMMER OR AN AT RISK SWIMMER.
2)
ENSURE THAT ALL MINORS ARE SWIM TESTED AT THE FIRST SWIMMING SESSION.
3)
ALLOW PARENTS OR LEGAL GUARDIANS TO PROVIDE THEIR OWN FITTING PERSONALL FLOTATION DEVICE (PFD) TO
THEIR CHILD IF THEY CHOOSE.
A COPY OF THIS STATE LAW IS AVAILABLE ON THE CITY OF WORCESTER WEBSITE OR AT THE PARKS OFFICE.
BELOW IS A LIST OF PHONE NUMBERS FOR YOUR ASSISTANCE IN THIS PERMIT PROCESS:
SPECIAL EVENTS COMMITTEE: 455 MAIN STREET ................................................................................................. 508-799-1175
POLICE DEPARMENT – OFF DUTY/SOUND PERMITS– 911 LINCOLN SQUARE -................................................ 508-799-8686
INSPECTIONAL SERVICES – FOOD AND PORTABLE TOILET PERMITS– 25 MEADE STREET ......................... 508-799-8539
INSPECTIONAL SERVICES – TENTS, GENERATORS – 25 MEADE STREET .......................................................... 508-799-1198
FIRE PREVENTION – OPEN FLAME PERMITS – 25 MEADE STREET ..................................................................... 508-799-1822
LICENSE COMMISSION – FLEA MARKETS OR SELLING OF ITEMS ..................................................................... 508 799-1400 X234
EMS .................................................................................................................................................................................... 508-799-8606
PLEASE DRAW A MAP OF LOCATION BEING USED AND SHOW WHERE THE SET UP IS (I.E.
TENTS, TABLES, CHAIRS, GRILLS. AN ALTERNATE MAP OR ADDITIONAL PAGE MAY BE USED)
The City of Worcester – Department of Public Works & Parks – Parks, Recreation & Cemetery Division
Rules and Regulations
The DPW & Parks – Parks, Recreation & Cemetery Division of the City of Worcester, by virtue or the authority delegated to
it under chapter 45 of the General Laws of Massachusetts and every other power thereto enabling, hereby makes and
publishes the following rules and regulations which shall not only be limited to the following and DPW & Parks – Parks,
Recreation & Cemetery Division reserves the right to make additional changes or expansions without notice at any given time.
Within the limit of lands under the management of the City of Worcester – Department of Public Works & Parks, Parks,
Recreation & Cemetery Division, it shall be unlawful for any person/organization:
1)
To destroy, misuse or abuse park property, or to injure or
climb trees, lawns, shrubs or plants in any park playground,
beach or other areas under the jurisdiction of the DPW &
Parks – Parks, Recreation & Cemetery Division.
2)
To deface, remove or destroy any sign or notice or
protective device placed in any park, playground, and or
beach.
3)
To commit any unlawful act of violence or disturbance
towards other people or to disturb the animals, birds or fish,
etc. or commit any act of nuisance in any park, playground,
beach area, recreation area or facility.
4)
To obstruct, hinder, or impede the movement/work of
employees of the DPW & Parks – Parks, Recreation &
Cemetery Division or vehicles of said department.
5)
To fail to comply in any public park (including boundary
road thereof) or other public place (including any parkway)
under the control of the DPW & Parks – Parks, Recreation
& Cemetery Division with any reasonable direction given
by any police officers or by any DPW & Parks – Parks,
Recreation & Cemetery Division employee or contained in
any notice posted by the DPW & Parks – Parks, Recreation
& Cemetery Division.
6)
To throw, deposit or leave any litter or rubbish any park,
playground or beach area, except in containers placed for
such purpose. Household trash, hazardous waste, debris, or
any other material cannot be thrown / dumped into any
park or park container.
7)
To feed water fowl & animals is prohibited in any park
playground or beach.
8)
To play golf or to practice it with putter or other club or
stick of any kind upon or within any public park,
playground, or beach except in those areas purposely set
aside for this activity or in conjunction with any organized
city recreation program.
9)
To take any animal into any park, playground, or beach in
violation of the City of Worcester ordinance.
10)
To operate a phonogram, bullhorns, radio, loudspeaker, or
amplifier, or otherwise create noise at a level that violates
the City Noise Ordinance, Part I, Chapter 9, Section 1A, of
the Revised Ordinances of 1996 of the City of Worcester.
Any phonogram, bullhorns, radio, loudspeaker or amplifier
in any of the City of Worcester Public Parks, playgrounds,
playing fields, or public property or building shall not be
plainly audible at a distance of 50 feet or more from said
Public Park, playground, playing field, or public property
or building and shall require permit/permits from the City
of Worcester.
11)
To sell or offer for sale any goods or ware, to do any
advertising of any nature, to make a fire unless approved by
the DPW & Parks – Parks, Recreation & Cemetery
Division. To play a game or chance for money or other
item in value or to distribute or advertise tobacco, alcohol,
medication, drugs or pornographic material.
12)
To discharge or have any firearms in any park, playground
or beach.
5
13)
To discharge or have any fireworks in any park, playground
or beach, except with a permit for those areas specifically
authorized by the DPW & Parks – Parks, Recreation &
Cemetery Division.
14)
To commit any trespass in any public park, playground, or
beach within the city between the hours of 10:00 PM and
5:00 AM except with a written permit from the DPW &
Parks – Parks, Recreation & Cemetery Division. A trespass
shall be any unauthorized entry in, upon, or across any
property under the jurisdiction of the DPW & Parks –
Parks, Recreation & Cemetery Division.
15)
To drive or propel any motorized vehicle in any park,
playground, or beach except on regular roads.
16)
To drive any Commercial vehicle into any park except on
business of the DPW & Parks – Parks, Recreation &
Cemetery Division, or to give driving instruction to any
person in an automobile in any park or to learn to drive an
automobile in any park, or to drive or propel any
automobile, motorcycle, motor bicycle, bicycle, or other
motor vehicle (except on regular park roads) or repair cars
in any park, or to park any car of any park road except in
areas designated for parking or to park any vehicle along
any roadway or to park any unauthorized automobile after
dark, or to clean/wax any vehicle. Such vehicles will be
towed at owner’s expense.
17)
To erect a booth, tent, sleeping bag, inflatable rides, stall,
camper, motor home or other structures or to sleep/camp or
lodge in any park, playground, or beach unless stakeless
and/or without the written permission of the DPW & Parks
– Parks, Recreation & Cemetery Division.
18)
To play any active ball games in any park, playground, or
beach except in areas set aside for such games.
19)
To place any snow or ice removed from private property
upon any park property, sidewalk, grass area, roadway,
parking areas or any boundary road of a public park or of
any parkway under the control of the DPW & Parks –
Parks, Recreation & Cemetery Division.
20)
To drive any vehicle upon any sidewalk of any boundary
road or a public park or of any parkway under the control
of the DPW & Parks – Park, Recreation & Cemetery
Division except in accordance with a written permit from
the DPW & Parks – Parks, Recreation & Cemetery
Division.
21)
Alcoholic Beverages: To possess, sell or drink any
alcoholic beverages as define in Chapter 138 section 1 of
the Massachusetts General Laws while on, in, or upon any
park, playground, or beach or other areas under the
jurisdiction of the DPW & Parks – Parks, Recreation &
Cemetery Division. Except on Worcester Common as
approved by the Worcester Parks & Recreation
Commission and with a special liquor permit in addition to
the DPW & Parks – Parks, Recreation & Cemetery
Division permit.
22)
To use or possess illegal drugs while in or upon any park,
playground or beach, or any other areas under the
INITIALS
6
INITIALS
Jurisdiction of the DPW & Parks – Parks, Recreation &
Cemetery Division.
23)
Closing hours: Public reservations shall be closed to the
public between the hours of 10:00 PM and 5:00 AM except
as may be authorized in a written permit of the DPW &
Parks – Parks, Recreation & Cemetery Division.
24)
Waiver Rights: The DPW & Parks – Parks, Recreation &
Cemetery Division reserves the right to waive and/or limit
these rules at any time if in the best interest of the City of
Worcester.
25)
To roller-blade, roller skate, skate board, or ride a bike in
any designated park area unless specifically identified for
this purpose.
26)
To boat / float on a flotation device, motorized water craft
or winter snow/ice vehicles (snowmobiles, etc.) is not
allowed on or in any body of water (ice or snow covered)
within a public park unless specifically authorized by a
written permit issued by the City of Worcester DPW &
Parks – Parks, Recreation & Cemetery Division. No boats,
flotation devices except US Coast Guard approved life
jackets. No motorized water crafts shall be launched within
150’ of any public beach.
27)
To ice skate on any body of water within a public park
except those water bodies designated for such use. Those
designated for such use are: Elm Park (3 ponds), University
Park pond, and Burncoat park (small pond). At all sites the
ice must be declared safe by the DPW & Parks- Parks,
Recreation & Cemetery Division.
28)
No group outing/picnics will be guaranteed in any park,
playground or beach under the jurisdiction of the DPW &
Parks – Parks, Recreation & Cemetery Division unless a
written permit from the DPW & Parks – Parks, Recreation
& Cemetery Division has been obtained.
29)
The DPW & Parks – Parks, Recreation & Cemetery
Division shall first approve any field, facility or structure
improvements, desired to be made by any organizations
permitted to use a public park.
30)
In the event of inclement weather conditions on a given
date, DPW & Parks – Parks, Recreation & Cemetery
Division may rescind a permit and restrict the use of any
field if under their determination such use will have a
negative long-term effect on the facility.
31)
Permit request for fields will only be issued between 8:30
AM and 4:00 PM, Monday – Friday (Non Holidays). There
will be no refunds or credits issued for any reason. No
information will be given nor permits issued over the
telephone. The City of Worcester DPW & Parks – Parks,
Recreation & Cemetery Division has a fees/charges policy
and Rules and Regulation governing all parks. The DPW &
Parks – Parks, Recreation & Cemetery Division reserves
the right to deny permits to those individuals and
organizations that have in the past shown disregard for
these rules and regulations.
32)
AVIATION IN PARKS: PARKS DRONES (UAS) AND OTHER
AIRCRAFT: DRONES, OTHER UNMANNED AERIAL
VEHICLES INCLUDING REMOTE CONTROL AIRCRAFT,
AND AIRCRAFT IN GENERAL CANNOT BE FLOWN IN THE
CITY OF WORCESTER PUBLIC PARKS OR OPEN SPACES;
UNLESS UNDER SPECIAL PERMISSION FROM THE CITY
OF WORCESTER COMMISSIONER OF THE DEPARTMENT
PUBLIC WORKS & PARKS OR HIS DESIGNEE, AND WITH
AN ISSUED APPROVED PARKS PERMIT. PLEASE REFER
TO THE FEDERAL AVIATION ADMINISTRATION (FAA)
RULES AND REGULATIONS
33)
It is unlawful and NOT allowed to smoke in any public
park, playground or beach as per the City of Worcester
ordinance.
ADDITIONAL POLICIES FOR THE USE OF THE COMMON
34)
Common: To commit any trespass between the hours of
10:00 PM and 5:00 AM, except with a written permit from
the DPW & Parks – Parks, Recreation & Cemetery
Division. A trespass shall be any unauthorized entry in,
upon, or across the Common during these hours; the
Common may be used only as a walk through. No active
leisure activities are permitted on the Common, including
but not limited to bicycle riding, skateboarding, roller
blading, roller skating, Frisbee, unless a written parks
permit is obtained through the DPW & Parks – Parks,
Recreation & Cemetery
Division.
PENALTIES: ANY PERSON VIOLATING ANY OF THE ABOVE RULES SHALL FOR EACH OFFENSE BE PUNISHED
BY A FINE NOT MORE THAN $200.00 (GENERAL LAWS CHAPTER 45, SECTION 24, AMENDED MAY 20, 1977)
THE ABOVE RULES AND REGULATIONS HAVE BEEN APPROVED BY THE PARKS & RECREATION
COMMISSION
PRINT NAME OF APPLICANT/REPRESENTATIVE: DATE:
SIGNATURE OF APPLICANT/ REPRESENTATIVE: _
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7
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
The City of Worcester Department of Public Works & Parks - Parks, Recreation & Cemetery Division prohibits discrimination on the
basis of race, color, origin, religion, age, sexual orientation or handicap in its programs and activities. Anyone who believes he or she
has been discriminated against in any City of Worcester Department of Public Works & Parks – Parks, Recreation & Cemetery
Division program, park or facility may file a complaint alleging discrimination with the Massachusetts Commission Against
Discrimination or the United States Department of the Interior, Washington D.C. 20240.
It is agreed that during the use of the Park or Recreation facility the permittee will not exclude anyone from participation in, deny
anyone benefit of the activity or otherwise subject anyone to discrimination because of the person’s race, color, national origin, age, or
handicap.
The undersigned guarantees that the rules and regulations of the DPW & Parks - Parks, Recreation & Cemetery Division will be
strictly observed.
The undersigned agrees to indemnify and hold harmless the City of Worcester, DPW & Parks, Parks, Recreation and Cemetery
Division from and against any and all claims, suits or any person or property arising out of the above named facilities by any
participant, spectator or other person affiliated with the undersigned becomes aware of an unsafe condition at or on the facilities, and
continues to perform at or on the Facilities, without first notifying the DPW & Parks, Parks, Recreation & Cemetery Division of the
unsafe condition and giving a reasonable time to correct said unsafe condition.
THE UNDERSIGNED SHALL SUBMIT PROOF OF INSURANCE, WITH THE SIGNING OF THIS PERMIT OR FILING OF
THIS APPLICATION, WITH THE CITY OF WORCESTER AS AN ADDITIONAL INSURED.
CLEAN UP WILL BE THE RESPONSIBILITY OF THE GROUP USING SAID FACILITIES, INCLUDING REFUSE FROM
SPECTATORS AND PARTICIPANTS. ALL REFUSE SHALL BE BAGGED AND REMOVED FROM SITE.
NO CHANGE OF ENTERTAINMENT WITHOUT PRIOR APPROVAL WILL BE PERMITTED.
I understand the information above and have received all the Rules and Regulations and take responsibility for insuring the
organizations compliance with these rules and terms. I will, if I leave this organization inform my predecessor of this information. I
am, through my signature able to bond the organization stated in this application to the rules and regulations of the DPW & Parks -
Parks, Recreation & Cemetery Division.
PENALTIES: Any person violating any of the above rules shall for each offence be punished by a fine not more than $200.00
(General Laws Chapter 45, Sect. 24, Amended May 20, 1977). Violators also risk permanent revocation of current and future DPW &
Parks - Parks, Recreation & Cemetery Division facility permits.
PRINT NAME OF APPLICANT/REPRESENTATIVE: DATE:
SIGNATURE OF APPLICANT/ REPRESENTATIVE: _
INITIALS
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FEES/CHARGES POLICY EFFECTIVE JANUARY 1, 2021
THE FOLLOWING FEES/CHARGES SCHEDULE HAS BEEN APPROVED BY THE PARKS & RECREATION COMMISSION:
NOTES:
FEES WILL BE CHARGED FOR FIELD USE PERMITS ISSUED TO YOUTH GROUPS/ORGANIZATIONS THAT ARE CITY RESIDENTS
UNDER THE AGE OF 18, FOR THE PURPOSE OF (SOFTBALL, BASEBALL, FOOTBALL, SOCCER, RUGBY, HOCKEY, BASKETBALL,
AND LACROSSE). THIS FEE CAN BE REDUCED IF THE YOUTH LEAGUE IS A 501C3 NON PROFIT AND/OR COMPLETES REGULAR
MAINTENANCE ON THE FIELD THEY ARE REQUESTING.
FEES WILL BE CHARGED TO ORGANIZATIONS/LEAGUES THAT ARE FOR PROFIT – NO DISCOUNTS WILL APPLY
THERE IS A TWO (2) HOUR PER DAY MINIMUM FOR ALL PERMITS
UNLIGHTED FIELDS/RINKS/COURT HOURS ARE 8:00 AM – 6:00 PM
LIGHTED FIELDS/RINKS/TENNIS COURT HOURS ARE 6:00 PM – 10:00 PM (ALL FIELDS CLOSE AT 10:00 PM UNLESS APPROVED BY
THE CITY, IF ADDITIONAL HOURS ARE APPROVED THE FEES WILL BE BASED ON THE LIGHTED FIELDS COST.)
SPORT PERMITS:
1. FIELD AND COURT FEES ARE AS FOLLOWS FOR NON-PROFIT ORGANIZATIONS - $18.00/HR/FIELD FOR OFF PEAK HOURS PRIOR TO
6:00 PM - $36.00/HR/FIELD FOR ON PEAK HOURS AFTER 6:00 PM
2. FIELD AND COURT FEES ARE AS FOLLOWS FOR-PROFIT ORGANIZATIONS - $36.00/HR/FIELD FOR OFF FEAK HOURS PRIOR TO 6:00
PM - $72.00/HR/FIELD FOR PEAK HOURS AFTER 6:00 PM
3. A DISCOUNT OF UP TO 50% WILL BE GIVEN TO CITY OF WORCESTER RESIDENTS ON OFF PEAK HOURS BEFORE 6:00 PM ONLY
BASED ON THEIR ROSTERS AND HOW MANY CITY OF WORCESTER RESIDENTS ARE IN THE LEAGUE: FOR EXAMPLE IF 100% OF
THE PEOPLE ARE FROM WORCESTER THAT WILL BE A 50% DISCOUNT. HOWEVER IF THE AMOUNT OF RESIDENTS IS LESS
THAN 100% THEN THE PERCENTAGE IS CALCULATED BY TAKING THE NUMBER OF RESIDENTS TIMES 100 DIVIDED BY THE
TOTAL NUMBER OF PEOPLE AND DIVIDED BY 50%
4. NO DISCOUNTS ARE GIVEN FOR INDIVIDUAL/PRACTICE PERMITS, NON RESIDENTS OF WORCESTER OR FOR-PROFIT
ORGANIZATIONS.
5. NO DISCOUNTS WILL BE GIVEN FOR PEAK HOURS 6:00 PM – 10:00 PM
6. GLODIS FIELD AND ALL OTHER NEWLY RENOVATED SYTHETIC FIELDS MAY REQUIRE STAFF AT GAMES. THE FEE
IS $125.00 PER HOUR WITH A MINIMUM OF TWO HOURS PER DAY.
EVENT PERMITS:
1. INDIVIDUALS OR GROUPS (THIS PERMIT IS FOR A LOCATION, IN A SPECIFIC PARK AT A SET TIME BETWEEN DAWN AND DUSK.)
2. 8:00 AM – 6:00 PM - $250.00/UPTO FOUR (4) HOURS/PARK
3. A DISCOUNT OF UP TO 50% WILL BE GIVEN TO CITY OF WORCESTER RESIDENTS OFF THE APPLICATION FEE ONCE
VERICATION IS SUBMITTED (DISCOUNT DOES NOT APPLY TO STAFF COST)
4. TRASH REMOVAL/DISPOSAL FEE WILL START AT $400.00 AND WILL INCREASE BASED ON THE SIZE OF THE EVENT. THIS FEE
DOES NOT INCLUDE FACILITY CLEAN UP A MINIMUM OF $220.00 WILL BE CHARGED FOR TRASH PICKED UP THROUGHOUT
THE FACILITY.
5. ELECTRICAL FEE $25.00 PER HOUR OF ELECTRIC USE AND WILL INCREASE DEPENDING ON WHAT THE ELECTRICITY IS FOR
(I.E. BOOM BOX, COFFEE MAKER, SOUND SYSTEM, ETC.)
6. STAFF FEES WILL APPLY TO EVENTS AS DEEMED NECESSARY BY THE PARKS, RECREATION & CEMETERY DIVISION AT A RATE OF
$55.00 PER HOUR, MINIMUM OF 4 HOURS. THIS FEE IS NOT DISCOUNTABLE.
COMMUNITY BUILDINGS:
1. RENTALS:
2. NON-PROFIT GROUPS/ORGANIZATIONS - $250.00/DAY
3. PRIVATE GROUPS/ORGANIZATIONS/INDIVIDUALS - $350.00/DAY
4. A DISCOUNT OF UP TO 50% WILL BE GIVEN TO CITY OF WORCESTER RESIDENTS
*NOTE: ADDITIONAL FEE FOR STAFF WILL BE CHARGED FOR OPENING/CLOSING, IF SETUP IS NEEDED OR DEEMED NECESSARY BY THE
CITY. THE CITY RESERVES THE RIGHT TO WAIVE THE PERMIT FEE FOR MEETING/EVENTS THAT IS IN THE BEST INTEREST OF THE CITY
OF WORCESTER. STAFF FEES WILL NOT BE WAIVED.
SPECIAL EVENTS/FUNCTIONS/TOURNAMENTS:
ORGANIZATIONS/GROUPS/INDIVIDUALS REQUESTING PERMITS FOR EVENTS/TOURNAMENTS WILL BE CHARGED FEES AS DETERMINED
ON AN INDIVIDUAL BASIS (STAFF, UTILITIES OR NEEDS AS REQUIRED BY DEPARTMENT) BASED ON DEPARTMENTAL AND PARKS &
RECREATION COMMISSION REQUIREMENTS.
PORTABLE STAGE FEE:
THE FEE FOR DELIVERY, SET UP, BREAKDOWN AND PICKUP OF THE PORTABLE STAGE WITHIN THE CITY OF WORCESTER IS $880.00
AND THIS FEE IS NON-NEGOTIABLE.
ADMINISTRATIVE CHARGE:
A $100.00 ADMINISTRATIVE CHARGE IS INCLUDED IN THE PERMIT FEE TO COVER STAFF AND SECRETARIAL COSTS, OFFICE SUPPLIES,
MAILINGS, UTILITY COSTS, ETC. THIS FEE WILL ALSO BE CHARGED FOR ANY CHANGES ON FINALIZED PERMITS.
REFUND POLICY:
CITY OF WORCESTER DEPARTMENT OF PUBLIC WORKS & PARKS - PARKS, RECREATION & CEMETERY DIVISION WILL NOT ISSUE ANY
REFUNDS FOR PERMITS DUE TO WEATHER CONDITIONS. OTHER CASES WILL BE DETERMINED ON AN INDIVIDUAL BASIS. THE CITY OF
WORCESTER WILL WORK WITH EVENT, PICNIC, AND WEDDING ORGANIZERS TO ATTEMPT TO FIND AN ALTERNATIVE DATE IN CASES
OF INCLEMENT WEATHER.
FEE STRUCTURE:
A $100.00 NON REFUNDABLE DOWN PAYMENT WILL BE REQUIRED AT THE TIME OF REQUEST. APPROPRIATE FEES WILL BE APPLIED
AS SHOWN ABOVE WITH DISCOUNTS TO BE APPLIED ONLY TO INDIVIDUAL, ORGANIZATIONS OR GROUPS THAT SUBMIT ALL
REQUIRED RESIDENCY DOCUMENTATION TO INCLUDE COMPLETED TEAM ROSTERS, COMPLETED SCHEDULES OF GAMES AND
PRACTICES, TEAM LISTINGS AND A BLANK COPY OF THE LEAGUE APPLICATION WITH COST INCLUDED. THE COMMISSIONER OR
HIS/HER DESIGNEE WILL REVIEW, CONFIRM AND APPROVE ALL INFORMATION BEFORE ANY DISCOUNT WILL BE APPLIED. DISCOUNTS
WILL ONLY BE APPLIED AFTER A COMPLETE REVIEW OF ALL REQUIRED DOCUMENTS. THE FILING OF FALSE INFORMATION TO THE
CITY OF WORCESTER DEPARTMENT OF PUBLIC WORKS & PARKS - PARKS, RECREATION & CEMETERY DIVISION WILL RESULT IN A
LOSS OF PERMITS AND THE CHARGING OF FULL FEES FOR THE ENTIRE REQUEST. ANY ORGANIZATION, INDIVIDUAL AND/OR
GROUP FOUND TO PROVIDE FALSE INFORMATION WILL BE REQUIRED TO ATTEND A PARKS & RECREATION COMMISSION MEETING TO
JUSTIFY THE ALLEGED FILING AND WOULD CONSEQUENTLY NEED APPROVAL FROM THE PARKS & RECREATION COMMISSION FOR
FUTURE REQUEST. A 2% LATE CHARGE WILL BE ASSESSED TO ALL LEAGUES/ORGANIZATIONS EACH MONTH IF THE INVOICE IS NOT
PAID WITHIN 45 DAYS OF THE INVOICE DATE.
INITIALS
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CITY OF WORCESTER 2021 PERMIT APPLICATION FOR EVENT (City of Worcester)

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Completed 10 February 2021

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