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Fee Land Use Request Form
Contact Information
Name
*
First Name
Last Name
Organization/Employer
Email
*
Address
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Request
Location
*
Which Stowe Land Trust-owned properties would you like to use? Check all that apply:
Kirchner Woods
Wiessner Woods
Mill Trail
Page Forest
DuMont Meadow
Activity
*
What would you like to do?
Timing
*
For a one-time use, please provide a specific date(s). For recurring uses, please provide a time frame and frequency (e.g. once a week for the summer or coming year).
Number Participants
*
How many people/clients will be participating? Please include dogs if applicable.
Number Guides
If a guided event or outing, please indicate the number of guides/leaders in the group.
Additional Information
Purpose & Community Benefits
*
What is the purpose of your proposed use? If applicable, please provide a description of your business/organization and participants. What benefits are provided to the Stowe community through your proposed use?
Fees Charged
*
What fees – if any – will be charged to participants?
Insurance
*
For most uses by organizations and businesses, we will require a certificate of general liability and property damage insurance that shows a minimum $1,000,000 per occurrence and lists Stowe Land Trust as an additional insured on your policy. Can you meet these terms?
Yes
No
If not, please explain.
Additional Comments
Is there anything else you want us to know about your request?