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 COUNTY OF YORK
FACILITY PERMIT REQUEST
for COUNTY PARKS and SCHOOLS
The permit below should be used for the following type of facilities:
  • All York County parks facilities
  • York County Middle School gymnasiums and athletic fields after 5:00 p.m. on school days and anytime on non-school days and weekends
  • York County Elementary School gymnasiums and athletic fields after 4:00 p.m. on school days and anytime on non-school days and weekends
The facility requests submitted below will be sent to the York County Division of Parks and Recreation
The permit below should not be used for the following type of facilities:
  • York County High School facilities
  • Grafton School Complex facilities

  • York County Middle School gymnasiums and athletic fields before 5:00 p.m. on school days
  • York County Elementary School gymnasiums and athletic fields before 4:00 p.m. on school days
  • York County School classrooms, auditoriums, or cafeteria

  • Bailey Field

 

Organization and Contact information

Organization Name
E-mail Address
**  Community/Commercial Individual  **
Address
City, State, Zip Code
Organization Contact, Title
Daytime Phone
Evening Phone
School or Park
Field or Facility
Estimated Maximum
Attendance
From Date
To Date
 

Please fill in the times for the appropriate day(s)

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Please explain your activity and make any further comments below:
 
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** COMMUNITY/COMMERCIAL (For school facilities, a certificate of insurance for $500,000 that lists York County and the York County School Board as additional insured must be provided prior to approval of this request.  For park facilities, a certificate of insurance that lists York County as additional insured must be provided prior to approval of this request.  The amount of insurance coverage must be at a minimum $500,000 or higher at the discretion of the County.)

**INDIVIDUAL (Additional insurance is not typically required; however, York County and the County School Board reserve the right to require a certificate of insurance.)


Please read the below "Conditions of Use for Public Facilities" and initial the below box prior to submitting the form.


CONDITIONS OF USE FOR PUBLIC FACILITIES

I, as a duly elected officer or duly appointed committee of the said organization, hereinafter "sponsor", certify that our organization agrees with the following conditions of use:

  1. The sponsor agrees to assume all risks and liabilities in connection with the use of the facilities requested, and hereby releases and absolves, and agrees to guarantee, hold harmless and indemnify the County of York and the York County School Board, its officers, employees, and agents, from and against all liability for claims or judgments arising out of the use of the requested facility by the sponsor, or rising from the actions of the sponsor, or its agents, employees, members, or invitees.

  2. The sponsor understands that the County does not provide medical insurance or hospitalization for participants and if such insurance is desired, it is the responsibility of said organization and/or participant.

  3. All applicable rules and regulations and County ordinances will be adhered to.

  4. The sponsor agrees to pay for all damages to public property and for any other charges that may be incurred as a direct result of this field use.

  5. All litter must be deposited in receptacles at the site. If litter is in excess of the receptacles' capacity, it shall be placed in the facility's dumpster (if provided) or carried off site.

  6. Alcoholic beverages and controlled substances are not permitted.

  7. All vehicles must be parked in designated parking areas only. No private vehicles are permitted on any other areas of public facilities.

  8. No food/drink concessions shall be operated without a proper permit from the Health Department and compliance with Health Department regulations.

  9. Admission fees will not be charged for activities held at school sites.

  10. In cases where a key is necessary for access, a key deposit is required. This deposit will be refunded approximately 2 weeks after the key is returned. All keys issued for facility use must be returned the first working day after the scheduled even t. Keys shall not be duplicated under any circumstances. Key deposit payments (cash or check) must accompany this form. Checks should be made payable to: York County Parks and Recreation.

  11. In most cases, requests for field use by non-school or non-county organizations will not be approved until school and county athletic field schedules are set.

  12. A school or county event can bump other events if 48 hours notice is given by the group desiring the change. However, if a group has a substantial number of people involved and wishes to appeal the schedule change, an appeal can be made through cognizant staff members at the School Division and County Administration. In addition, a change in schedule can be made less than 48 hours before an event if the change is required by inclement weather, other acts of God, or acts of third parties. These schedule changes can also be appealed.

  13. The sponsor is responsible for lining fields and supplying necessary equipment for said event.

FAILURE TO ABIDE BY THE ABOVE CONDITIONS MAY RESULT IN REVOCATION
OF THIS PERMIT AND DENIAL OF APPROVAL FOR FUTURE REQUESTS.


I agree with the above conditions I do not agree with the above conditions
Applicant's Initials
Applicant's Full Name

     

Requests for facilities will be reviewed by the Division of Parks of Recreation. If the request is approved, written confirmation will be mailed to the organization's contact. Please submit request at least 10 days prior to beginning date of use. County and School sponsored activities take priority over other activities.

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York County, Virginia
224 Ballard Street, P. O. Box 532
Yorktown, Virginia 23690-0532

757.890.3300