Hall and Park Rental Application

Hall and Park Rental Application Form

Upon completion of your online request, you will be emailed the Silverdale Borough Building Rental Policy (PDF). Please review this document carefully, as it outlines acceptable use guidelines and your responsibilities as a lessee.

Please contact the Borough office with any questions.

Step 1 of 3

1. Applicant Information
Name of Responsible Person*
First Last
Organization

If applicable
Email*
Applicant's Primary Phone*
Other Phone
Mailing Address*
Street Address Address Line 2 City State ZIP Code

2. Event Information
Please provide additional details about your planned event.
Date of Event*
MM slash DD slash YYYY
Event Description - Reason for Rental*
Approximate Number of Attendees*
Start Time*

: Hours

Minutes

Please indicate your planned event start time. Example: 02 30 PM.
End Time*

: Hours

Minutes

Please indicate your planned event ending time. Example: 06 30 PM. Please note that the premises must be vacated by 10:00 PM.

3. Signature
As a lessee of the Silverdale Borough Building and Al Reese park facilities, I understand I must be present on the premises throughout the rental date.

I further understand that as a public park, although my rental includes the use of Al Reese Park, I may not stop the public from using the Park.

I understand the use of alcoholic beverages and/or controlled substances is strictly prohibited in the Silverdale Borough Building and on the Al Reese Park facilities.

I agree to remove all trash and litter at the conclusion of my event, and I understand if the facilities are left in a less than acceptable condition, a portion, or the entirety of the deposit will be forfeited by the lessee to reimburse Silverdale Borough for the cost of cleaning and/or repairs.

I have read and understand all the regulations governing the use of the Building and Park facilities and will accept responsibility for the adherence to those regulations. I further understand that failure to abide by these regulations may result in legal actions against me and any and all responsible parties, and revocation of any and all future rental privileges.
Additional Notes
If needed, please provide any other information about your rental request.
Please note that once this form is submitted, you will be emailed a link to view and download the Silverdale Borough Building Rental Policy.

By submitting this online form, you agree to review and abide by the acceptable use guidelines described in the document.
Applicant - Lessee Signature*
First Last
By submitting this form, I certify all data herein is true and complete, and I will abide by Silverdale Borough facility policies.
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Hall and Park Rental Application Form

Step 1 of 3

1. Applicant Information

2. Event Information

3. Signature

Community Links

PA State Government Links

Environmental Resources

Contact Silverdale Borough

Hall and Park Rental Application

Hall and Park Rental Application Form

Step 1 of 3

1. Applicant Information

2. Event Information

3. Signature

Footer

Community Links

PA State Government Links

Environmental Resources

Contact Silverdale Borough