William R. Talley Rec Center
121 North Bentz Street
Frederick MD 21701
Date of Application:
Date Received:
Date of Approval:
Date of Issuance:
Type of Permit:
301-600-1493
FAX: 301-600-2849 www.cityoffrederick.com APPLICATION FOR USE OF CITY PARKS
(Revised 7/2013)
Applications & payment are due at least ten (10) days prior to the event unless otherwise noted.
PAYMENT IS REQUIRED WITH APPLICATION SUBMISSION AND WILL NOT BE ACCEPTED WITHOUT IT.
PLEASE READ AND COMPLETE ENTIRE APPLICATION PRIOR TO SUBMITTAL.
FAILURE TO COMPLETE ENTIRE APPLICATION WILL RESULT IN DENIAL OF REQUEST.
Please call with any questions!
Organization:
Contact Name:
Mailing Address:
Email Address:
Daytime Phone:
Evening Phone:
Cell Phone:
PARK REQUESTED:
Date of Event (Day of Week / Month / Date / Year):
Start Time of SETUP for event:
Stop Time for completion of TEAR DOWN:
am / pm am / pm
EVENT Start Time:
EVENT Stop Time:
am / pm am / pm
Name and Complete Description of Event*:
*If Yard Sale, additional fee applies.
Will entertainment be involved?:
If yes, give details w/# of groups, type of music, time of performance(s) etc.
See Noise Ordinance, Sec. 15-21.
Will other equipment be used?:
Any entertainment will need the approval of the Parks & Recreation Commission and City Police Department
– allow forty-five (45) days for approval.
Live Band(s)
Yes
DJ
Radio/CD Player
Other:
No
(i.e. generator, tents, inflatables, etc.)
If yes, give details.
Certificate of Insurance may be required.
Will vendors be at the event?:
If yes, give details.
Is this a parade, walk or run?:
If yes, give details.
Will participants be charged a fee?:
Organizer must contact the Building Dept at 301-600-3814 for a Vendor/Peddler Permit. Fees apply.
Yes
No
Organizer must contact the Recreation Department at least 90 days prior to the event at
301-600-1493. Fees apply and other paperwork required.
Yes
Yes
No
No
Yes
No
If yes, provide detailed budget of