Rest Stop for ALS Association Charity Bike Ride @ ES/MS

What

Rest Stop for ALS Association Charity Bike Ride @ ES/MS

When

6/11/2022, 8:30 AM – 12:00 PM

Where

ES/MS lot in rear of the school building and access to restrooms. Group will be using the space in the back of the school entering from Fidler Road so the gate needs to be unlocked/open.

NAME OF ORGANIZATION:: ALS Association - Greater Philadelphia Chapter
CONTACT NAME:: Glenn Morton
CONTACT PHONE #:: 908 832 6909
CONTACT EMAIL ADDRESS:: [email protected]
MAILING ADDRESS:: 17 Sutton Road Lebanon NJ 08833
PURPOSE FOR WHICH FACILITY IS TO BE USED:: Rest stop for charity bike ride
DATE OF USE:: Jun 11, 2022
BUILDING LOCATION:: ELEMENTARY/MIDDLE SCHOOL
(SETUP) REQUESTED FACILITY START TIME:: 8:00 AM
(BREAKDOWN) REQUESTED FACILITY END TIME:: 12:30 PM (confirmed via email)
ACTUAL EVENT START TIME:: 8:30 AM
ACTUAL EVENT END TIME:: 12:00 PM (confirmed via email)
AREA TO BE UTILIZED:: lot in the rear of the school building and access to rest rooms
NUMBER OF PERSONS EXPECTED TO BE IN ATTENDANCE:: 100
WILL ACTIVITY BE OPENED TO THE PUBLIC:: No
ADMISSION FEE:: No
USE OF SCHOOL EQUIPMENT:: rest rooms
IF YES, HOW MANY TABLES AND/OR CHAIRS:: N/A
ELECTRICAL EQUIPMENT TO BE USED: (Please Note) All electrical equipment, if property of the school, must be operated by a school employee (i.e., lighting, sound system, projectors, air conditioning, etc.): N/A
Do you (the requesting organization) have an in-force public liability policy?: Yes
Bodily Injury $: $1,000,000
Property Damage $: $1,000,000
Signature of Applicant/Sponsor: (Please enter your full name below): Glenn Morton