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Amusement Permit

2. Amusement Permit
   Permit and Insurance Certificate MUST be submitted at least 2 weeks prior to the event.

   Permit and Insurance Certificate MUST be submitted at least 2 weeks prior to the event.

6. Date:

8. Permit #

9. Park or Facility

11. Issued to

12. Section it Applies

14. Organization

15. Date

17. Address

18. Time

20. City

21. Estimated Attendance

23. State

24. For the express purpose of:

26. Zip

27. Fees:
    $20 Half Day or $40 Full Day

    $20 Half Day or $40 Full Day

29. Business Phone

30. Insurance Certificate
    Renter must show proof of at least $1 million liability insurance. The Town of Indian Trail must be shown as an additional insured. Cancellation must be made within 30 days. This permit may be cancelled at anytime by the Director of Park and Recreation (or the designee) if activity is found not to be in the best interest of The Department of Parks & Recreation.

    Renter must show proof of at least $1 million liability insurance. The Town of Indian Trail must be shown as an additional insured. Cancellation must be made within 30 days. This permit may be cancelled at anytime by the Director of Park and Recreation (or the designee) if activity is found not to be in the best interest of The Department of Parks & Recreation.

32. Home Phone

Leave This Blank:


34. Submit

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