Village of Florida(non-resident)
Glenmere Lake Park Boat Launch/ Park Pass Application
All Watercraft are required to have passes (no gas-powered motors allowed)
FEES: 2022-2023 Beginning 5/1/22
_______$5.00 (Town of Warwick/Florida UFSD) _______ Non-Residents: $50.00
_______Boat use (Free) _______ Boat Use $ 5.00
_______Dog Permit $5.00 _______ Dog Permit $10.00/dog
________ Total Fees ________ Total Fees
Do you have a dog? Y/N If yes how many? ________Breed ___________
All dogs must be on a leash or are subject to a $250.00 fine per dog
All dogs MUST have a CAT (Canine Approved Tag) or they are subject to a fine
Any person without park pass is subject to $100.00 fine
Name: _______________________________________________________________________
Address: _____________________________________________________________________
City: ____________________ State: _____________Zip: ________ Phone: _______________
Vehicles: Make: _________________________ License Plate # ______________________
Vehicles: Make: _________________________ License Plate # ______________________
Must show proof of residency (Town of Warwick/Florida UFSD)
Number of stickers issued: _______
Sticker Numbers: _______________, _______________,
Total Collected: $ __________
Date Collected: ___________ Collected By ___________
***All fishing must abide by NYS regulations
***Anyone caught littering will be fined
I agree to indemnify and hold harmless the Village of Florida, it’s officers, agents and employees from and against any and all damage, claims, actions, judgements, liabilities, settlements costs and expenses associated with Park Use or Village of Florida park property.
_____________________________ I Agree