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2. First & Last Name*
4. Address*
   Street
6. City:*
7. State:*
8. Zip:*
10. Email:*
11. Phone:*
13. Park Requested:*
15. Type of Event:*
17. Anticipated Number of Guests:*
19. Day of the Week:*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday

    1. Friday
    2. Saturday
    3. Sunday
20. Date:*
    Date:
21. Time:*
    Time: Start Time

    —

    Time: End Time
23. Are you planning to have any of the following at your event?*

    Please check all that apply.

    1. Food Truck*
    2. Tents*
    3. Portable Toilets*

    1. Amusements* (i.e. Moon Bounce)
    2. DJ/music
    3. NONE
25. Please describe anything else you are planning to do.
29. Vendors are required to provide a certificate of insurance and obtain all necessary licenses required by the Township of Cherry Hill.
    Insurance Requirements
    A certificate of insurance showing minimum limits of $1,000,000.00 per loss for general liability. The certificate must name "Township of Cherry Hill" as an additional insured and must be received prior to your use of the park. Compliance with this requirement is mandatory and not negotiable.
    
    Food Vendors
    All food vendors are required to obtain a Cherry Hill Food Vending License from the Municipal Clerk's Office. Click here for more information.
    
    Park Rules and Regulations
    Click here for complete park rules and regulations.
31. Please note: We do not give out park permits. Parks are open to the public and no one can be turned away.
35. HOLD HARMLESS AGREEMENT
    Facility User hereby agrees to waive, release and hold harmless Cherry Hill Township, all of its affiliates, employees, agents, representatives and successors from any and all claims or causes against Cherry Hill Township that may arise as a result in any action resulting from said services; and
    
    If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed herefrom.
37. Signature*
38. Date*
    mm/dd/yyyy
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field