EmailMeForm
Application for Facility Discount
Renters of park facilities may request discounted fees using this form. Requests will be evaluated and fees adjusted per criteria listed. Applications will be reviewed after facility reservation requests are received. Please allow up to 5 days for a response.
Discounts for
• Increased opportunities for participation – especially for participants with limited financial means
• Employment opportunities – especially for community residents
• Organizations with limited budgets
• Proceeds put back into community for charitable purposes
• Organizations that support P&R
• Users with a high percentage of East Lyme residents
Authorized Representative
First
Last
Business / Organization Name
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Organization Status
Check if Non-Profit
Phone
###
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###
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####
Email
Describe how the facility rental increases opportunities for participation, especially among people with limited ability to pay.
How many residents from the community are hired to work specifically at the event?
Describe any financial constraints your organization has.
Detail the portion of revenue generated from this event that is donated for charitable purposes and what that charity is.
Provide details about other collaborations, or support the organization provides ELP&R.
Questions / Comments / Additional information
Total Discount Requested
