Application for the use of Optimists Park

 

Application to be made at

 

The

Charlotte Community Library

226 South Bostwick Street

Charlotte, Michigan 48813-1801

517-543-8859

www.charlottelibrary.org

 

Fee to be paid at the time of application

 

 

Date Requested: _____________________

 

Organization: _______________________

 

Person Applying: ____________________

 

Address: ___________________________

 

Telephone:  Business: _______________________ Home: ________________________

 

Activity to be held:________________________________________________________

 

The applicant agrees to observe and follow the rules of the park, to return the facilities to a clean and orderly condition, to pay the usage fee of $10.00, and to pay the cost of any repair or damage to the facilities and equipment.  The applicant further agrees to hold the following organizations and their staff members harmless and blameless for damages or injury to non-park property or persons using the facilities:

 

            Eaton County Park District

            The Charlotte Optimist Club

            The Charlotte Community Library

 

 

Date: ___________ Signature of applicant: ___________________________________