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2. Primary Contact Person
3. Primary Email Address
5. Organization Name
7. Address
9. City
10. State
11. Zip
13. Phone
15. Secondary Contact Person
16. Secondary Email Address
18. Are you a non-profit agency?

    1. Yes
    2. No
19. If Yes, what is your 501(c)3 number?
21. Please provide a description of your agency or a website to learn more:*
23. How does your agency serve Town of Indian Trail residents?*
25. Facility Requested*
27. Event Details (date, time, number of attendees, set up, vendor, cost, food trucks, etc.)*
29. Explanation of the need for the waiver*
31. Proposed date for anticipated event
33. Disclaimer

    1. Yes
    2. No

    I understand that applications must be submitted at least 60 days prior to the requested date. Once an application has been received by the Town, it will be submitted to the Parks, Arts, Recreation and Culture (PARC) Committee for consideration. The PARC Committee meets every other month (February, April, June, August, October and December) on the first Wednesday. Staff will inform applicants of the status of their request within two business days following the PARC Committee meeting. For approved waivers, staff will issue a permit and collect any applicable fees. Fee waivers may only be granted for facilities that are open and available.

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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field