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Peoples Settlement Association

Facility Usage Application

THE APPLICATION MUST BE RECEIVED AT LEAST TWO WEEKS PRIOR TO THE DATE REQUESTED.

All applications will be processed as soon as possible, however, if the information provided is not  complete, the permit may be delayed.

PEOPLES SETTLEMENT ASSOCIATION reserves the right to refuse a permit if regulations and requirements are not met or if the facility requested is not suitable for the planned event. If the facility requested is not available, this application will be returned to you.

NOTE: No person or group shall be excluded from participation, denied any benefits, or subjected to discrimination on the basis of race, color or national origin in any facility or attraction. This is in full compliance with Title VI, of the Civil Rights Acts of 1964. PEOPLES SETTLEMENT ASSOCIATION does not and will not pay medical expenses nor assume any liability for any injuries or other damages suffered by participants in programs or events which it sponsors.

All risk of injury must be assumed by the participants. The applicant also agrees to pay for any damages that may occur to our facility and or equipment.
 

Fields in RED are required

Name of Applicant:

Name of Organization:

Title:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Email:

Business Phone:

Home Phone:

Fax:

Requested Event Date:

Requested Event Time:

Alternate Event  Date:

Description and/or purpose of event:

Facility Requested:

Anticipated Number in Attendence:

Number of  Supervisors:

Special Services or Equipment Requested:
(include all items required to conduct your  event)

Will you have any type of concessions?

  - Yes     - No

Will there be any fees charged?

  - Yes     - No

If yes, how much?

By pressing the submit button below,
I agree that the information provided in the fields above is accurate.

 

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Peoples Settlement Association
408 East 8th St.
Wilmington, DE 19801
(302) 658-4133
FAX: (302) 658-7406
info@psassociation.org
 


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