Facility & Parking Use Authorization
Request Use of Lodge Facilities or Parking
Clemmons Masonic Lodge No. 755 · 6210 Stadium Drive, Clemmons, NC 27012
- 1
Request
- 2
Document & Insurance Review
- 3
Written Decision
Submitting a request does NOT grant permission to use the property. No verbal approval or scheduling assurance is valid. Use is prohibited until the Lodge issues written authorization after reviewing required documents and insurance.
What may be required
Documents
- 1
Signed use agreement
Issued by the Lodge after review. Both the applicant and an authorized Lodge representative must sign before any use.
- 2
Certificate of Insurance (COI)
Shows general or event liability coverage relevant to your activity, with the named insured matching the applicant, valid dates covering your event, and limits acceptable to the Lodge.
- 3
Additional-insured endorsement
When required, an endorsement naming the legal entity that owns or controls the Lodge property as an additional insured — not merely as certificate holder. A COI alone does not bind the insurer; the Lodge verifies the endorsement itself.
- 4
Activity-specific items
Depending on your use: permits, vendor certificates of insurance, a traffic or parking plan, a site map, or an event itinerary.
Draft policy · pending Lodge & counsel approval
Conditions of use
- No unsupervised access to the building or grounds unless specifically authorized in writing.
- Permission may not be transferred, assigned or sublicensed to any other person or group.
- Keep all exits, fire lanes, walkways and accessible parking clear at all times.
- Use only the approved areas, on the approved dates and during the approved times.
- No alcohol, open flames, tents or canopies, or vendor sales unless specifically approved in writing.
- The organizer is responsible for setup, cleanup, any damage, the conduct of participants and parking control.
- Comply with all applicable laws and with any emergency directive from Lodge representatives or public officials.
- Obtain any permits required for the activity (for example fire, health, event or traffic permits).
- No changes to the approved use without new written approval from the Lodge.
Application
Apply for review
About 10 minutes. Parking-only requests skip building questions; building-only requests skip parking questions.
Progress (except signatures and files) is saved on this device only so you can return after a refresh. Clear it any time by submitting or using “Start over”.
Privacy
We collect only what is needed to review your request. Information and documents are stored securely and are visible only to authorized Lodge officers; they are never shown publicly or shared with other applicants. Retention period awaiting Lodge confirmation. Questions: (336) 766-9085.