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2023 Commercial Fitness /Athletic Instruction / Recreation Permit Application

  1. This form is not a permit. Please read this application in full. Completion of this application does not constitute an automatic approval and does not guarantee that a permit will be issued. Applicants are encouraged to include maps, plans and any pertinent supporting documentation with this application. Permitting questions can be directed to the Town’s Events Coordinator at 508-325-4166.
  3. i.e. Business Name
  4. if different than Primary Contact
  5. Are you established as a business ?*
  6. Does your business carry liability insurance?*
  7. Are you offering this program anywhere else ?*
  9. Class Days*
  10. Target Population*
  11. No exercise classes are to take place at Nobadeer Beach between the hours of 10:00am and 5:30pm. Two hour maximum block of time for the class / program.
  12. List all equipment and supplies required to conduct the program and who will provide them. Please note: Participant Provided Equipment/Supplies and Instructor/Contractor Provided Equipment/Supplies.
  13. Instructor will be responsible for informing the Town of Nantucket and participants of these potential considerations prior to any participation in activities
    In consideration of permission to use the public property, facility or services described herein, the Applicant agrees to save and hold the Town of Nantucket, its agents, servants, and employees harmless from any and all liabilities or costs arising out of the use of the described premises by the Applicant, the Applicant's guests, employees, subcontractors, and/or other persons. The Applicant acknowledges that the permission to utilize the facilities is limited to the portion of the premises herein described (if applicable), and that the permission is valid only for the activity herein described. Notwithstanding the foregoing, this Hold Harmless Agreement shall be applicable to any claim asserted against the Town of Nantucket, its agents, servants, and employees, and for any loss incurred arising out of the Applicant's activity whether or not such claim or loss extends beyond the permitted type or locale of activity or occurs on a different date than specified. Commercial General Liability is required in the amount of $1,000,000 CSL (combined single limit) with the Town and County of Nantucket added as an additional insured.
  15. By typing your name in the applicant signature field(s), and submitting this form electronically (via email), you affirm that all information contained within this document was completed truthfully, and to the best of your knowledge and you understand that your electronic signature is considered legally binding the same as signing your physical signature by hand.
  16. Leave This Blank:

  17. This field is not part of the form submission.