renting a parks building - City of Syracuse

Date of Application____________
Permit # (Office Use Only)_____________
RENTING A PARKS BUILDING
If you are interested in using one of the Parks Department’s buildings for your event, please fill out the form
below, sign the attached waiver, and send these forms, along with payment for the full amount of the rental cost
plus $25 as a security deposit, to Mary Beth Roach, Dept. of Parks, Recreation and Youth Programs, 412 Spencer
St., Syracuse, NY 13204. Checks/money orders can be made payable to Commissioner of Finance. If the
building is clean upon your departure, you will be refunded the $25. Please allow 4-6 weeks for the refund. If
you have any questions, please call Mary Beth Roach at 473-4330.
Rental rates depend on residency. City-affiliated groups are $40/hour; non-city-affiliated groups are $80/hour.
This includes any set-up and/or breakdown time.
Before completing the application, please contact Mary Beth Roach at 473-4330, ext. 3006, or email her at
mroach@ci.syracuse.ny.us to check availability. Because of existing, ongoing programming, certain
facilities may not be available.
Thank you.
Requesting Organization:
Name of Applicant/Representative:
Address:
Address:
Phone Business:
Phone Home:
Email:
Phone Business:
Phone Home:
Email:
Building: ___________________________________________________________________________________
Date and Time Requested (please include any set-up and/or breakdown time you may need.):
____________________________
________Type of Activity (Explain): ___________________________
___________________________________________________________________________________________
The number of people expected to attend (to ensure that the facility can accommodate the number of people you
expect): ___ ____

The City of Syracuse Dept. of Parks, Recreation and Youth Programs reserves the right to deny permit requests depending on
the scope of the event and/or the number of people attending. Please read and initial all the points below.
_______The building will be staffed while you are on-site, to troubleshoot any problems that may arise, etc. Our staff is
responsible for general cleanup.
_______The staff person assigned to your event will arrive at the location 15 minutes before the time you note. The hourly
fee includes any time for set-up and/or breakdown.
_______If you encounter any problems with the facility during your rental period, please alert the staff person on site as soon
as possible. Please do not wait until you are departing. Your failure to alert on-site staff does not entitle you to a refund.
_______If you take down any decorations, they must be put back up before you leave.
_______NO SILLY STRING, DEEJAYS, INFLATABLES OR BOUNCE HOUSES will be allowed.
_______No alcoholic beverages are allowed to be sold or consumed.
_______The stereo system on the ground level of the Cecile Center CANNOT be moved upstairs.
_______The piano at the Cecile Center is not available for use.
_______You must provide your own dishes, cookware, utensils, decorations, tablecloths, etc.
_______In putting up decorations, NOTHING CAN BE PUT ON THE WALLS OR FROM THE LIGHTING
FIXTURES. You can tie balloons off to the handles on the windows, chairs or as centerpieces.
_______Do not leave any dirty dishes or silverware in the facility’s sinks or stovetops. Any foodstuffs in the refrigerator
ARE NOT available; they are part of the lunch program for the seniors attending the center. Cookware, utensils or dishes
already in the kitchen area ARE NOT available.
_______If the fire alarm should sound, you and your guests MUST leave the building immediately, even if you do not see,
smell or suspect smoke. The fire department will respond and reset the system.
_______The Centers CANNOT be used for commercial reasons, including but not limited to the selling of products for
profit; seminars and/or gatherings and/or parties where products or services are offered or promoted.
_______Any equipment or supplies you leave behind can be picked up from the Main Office at 412 Spencer St. The office is
open Monday through Friday, from 8:30 a.m. to 4:30 p.m. If equipment and/or supplies are left for more than three weeks
they will be disposed of.
_______Your failure to abide by the regulations noted above may result in the forfeiture of your deposit and/or being asked
to leave the premises.
WAIVER OF LIABILITY AND INDEMNITY
DEPARTMENT OF PARKS, RECREATION AND YOUTH PROGRAMS
SYRACUSE, NEW YORK
For, and in consideration of, the undersigned being permitted the use of _______________________________________________________
On ____________________ the undersigned, in order to avail himself/herself/themselves of said permit, recognizes and assumes any and all risks
pertaining thereto, and hereby releases the City of Syracuse, its officials, officers, and all other personnel of the City of Syracuse from any and all
liability, damages, costs or expense arising from claims for injuries to persons (including death) or damage to property occasioned by the granting of
this permit, or arising from any conduct undertaken by any person by reason of this permit unless attributable to the City’s negligence or intentional
actions. The undersigned shall indemnify and hold the City harmless from any liability to any persons resulting from any property damage or
personal injury (including death) occurring in connection with the permitted event proximately caused by the actions of the undersigned, its officers,
members or agents or any persons who were under the undersigned’s control. Persons who merely join in a parade or event are not considered by
that reason alone to be under the control of the undersigned.
IN WITNESS WHEREOF, the undersigned have affixed his/her/their signature(s) at Syracuse, New York, this _____ of ________________, 2010.
Signature:____________________________ Witness by: (Need not be notarized):______________________