TOWN OF LENOX
APPLICATION TO USE LILAC PARK
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NAME OF SPONSORING ORGANIZATION
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ADDRESS PHONE NUMBER
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RESERVATION REQUESTED BY/CONTACT PERSON
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DATE OF FUNCTION
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ACTIVITY BEGINS/ACTIVITY ENDS CLEAN-UP TIME AND DATE
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DESCRIPTION OF ACTIVITY
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LIST OF RESPONSIBLE INDIVIDUALS AND TIMES IN CHARGE
_________________________________________________________$500___
ANTICIPATED NUMBER OF ATTENDEES RENTAL FEE/DEPOSIT
WILL YOU BE ERECTING A TENT/SIGNAGE?__________________________
WILL THERE BE ANY MUSIC?_______________________________________
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WHAT TYPE?
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SIGNATURE DATE
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APPROVED BY SELECTMEN DATE
Please return completed application to the Board of Selectmen. The request will be acted upon at their next Selectmen’s meeting.
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