St. Clair Borough 16 South Third Street St. Clair, PA 17970 570-429-0640 APPLICATION FOR USE OF JOHN SINEY PARK PLEASE READ THE BOROUGH OF ST. CLAIR'S POLICIES AND PROCEDURES FOR USE OF THIS FACILITY ON THE REVERSE SIDE BEFORE FILLING OUT THIS APPLICATION. REQUESTED DAY AND DATE OF ACTIVITY: PURPOSE FOR WHICH PARK WILL BE USED: AMENITIES REQUESTED: PAVILLION SET-UP TIME: START/END TIME: CLEAUP TIME: ADDITIONAL REHEARSAL ANDIORSET-UPR-DAY. ANDDATE: START/END TIME: ESTIMATED ATTENDANCE: ADMISSION CHARGE? YES NO WILL YOUR EVENT INCLUDE LIVE MUSIC? YES NO ALCOHOLIC BEVERAGES ARE PROHIBITED ON BOROUGH PROPERTY ORGANIZATION REQUESTING FACILITY: APPLICANT'S NAME: DATE: EMAIL ADDRESS: HOME PHONE: ADDRESS: WORK PHONE: CITY: ZIP: FAX NUMBER: INDEMNIFICATION: hereby agrees to indemnify, defend and hold harmless the Borough of St. Clair, it's officers, employees, agents, partners, heirs, successors and assigns (hereinafter the Borough) from and against, and to reimburse the Borough with respect to; any and all claims, demands, causes of action, losses, damages, - liabilities; costs and expenses (including reasonable attorneys fees and expenses, court costs, and costs of appeals) to persons or property asserted against or incurred by the Borough by reason of or arising out of the above event. JOHN SINEY PARK POLICIES AND PROCEDURES Procedures: John Siney Park Is available for public use, including weddings. Rental Hours: *Cleanup must be completed by scheduled cleanup time. Tables and Chalrs: All equipment including tables, chairs, canopies and sound systems must be provided by the applicant. Parking: Policies: 1. Use applications must be submitted to the Borough office no later than days prior to the event and no: more than days in advance. 2. No activity will be permitted in violation of local, state or federal statutes. Users must adhere to all Borough, Police and Fire codes during their use oft the Park. No applications will be accepted from anyone under the age of 18. Youth groups must have adult sponsors who guarantee observance of these rules and regulations. 3. The presence of and the serving or selling alcoholic beverages is prohibited at John Siney Park. 4: Applicants will be responsible-for-al. damage, and must leave the. facilities in the same general condition as. received. - 5,No Borough properly may: bè: alteréd df.changediwithout prior written approval from the Borough. Signs or decorations to be affixed.to the pavilion must. have prior approval. Nails, tacks, or any device which makes a hole are not allowed. Only the use of tape or string is allowed. a: 6i Liability. Applicant accepts the condition of the Park as-is. APPICANT, FOR HIM'HERSELF AND THE ABOVE ORGANIZATION AND ALL MEMBERS THEREOF, AGREES TO ABIDE BY THESE POLICIES AND PROCEDURES STATED ON THIS APPLICATION. APPLICANT'S. SIGNATURE: DATE: