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

What

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

When

6/10/2023, 8:00 AM – 1:00 PM

Where

ES/MS rest rooms and space on the grounds in the back of the school (Fidler Road) SEE ATTACHED PICTURE

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 New Jersey 08833
PURPOSE FOR WHICH FACILITY IS TO BE USED:: Space in lot behind Dennis Elementary School for several hours for rest stop for annual Ride to Defeat ALS bike ride and access to rest rooms (if not we will use porta-johns)
DATE OF USE:: Jun 10, 2023
BUILDING LOCATION:: ELEMENTARY/MIDDLE SCHOOL
(SETUP) REQUESTED FACILITY START TIME:: 8:00 AM
(BREAKDOWN) REQUESTED FACILITY END TIME:: 1:00 PM
ACTUAL EVENT START TIME:: 8:00 AM
ACTUAL EVENT END TIME:: 1:00 PM
AREA TO BE UTILIZED:: rest rooms and space on the grounds in the back of the school (Fidler Road)
NUMBER OF PERSONS EXPECTED TO BE IN ATTENDANCE:: 100
WILL ACTIVITY BE OPENED TO THE PUBLIC:: No
ADMISSION FEE:: No
USE OF SCHOOL EQUIPMENT:: N/A
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 $: $1,00,000
Property Damage $: $1,000,000
Signature of Applicant/Sponsor: (Please enter your full name below): Glenn Morton
DOES THIS EVENT REQUIRE THE USE OF A CUSTODIAN:: Yes