2. Organization
3. Point of Contact
5. Address
6. Phone
8. Email
10. Park/Field
    -- Select One --Bodmer ElginHalmosHalmos 1Halmos 2Halmos 3Hoewing L.M. Steven's PerkinsWhalen CommonsWillard
11. Days

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
12. Facilities

    1. Bandshell
    2. Baseball
    3. Concession Stand
    4. Pavilion
    5. Soccer
    6. Softball
    7. T-Ball
    8. Other
13. Type of Team

    1. Local Team
    2. Travel/Club
15. Dates of Use
16. Time
18. Age Group
19. # of Local Participants
20. Field Size/Baseline Distance
22. It is understood that the park listed above is reserved, as specified for the use of the above named applicant / organization.
    
    The permit holder assumes personal liability for the cost of excessive clean up of the premises; loss, breakage, or removal of park property and responsibility for the conduct and good order of the group.
    
    For seasonal athletic use, a copy of game and practice schedules shall be submitted with this application.
    
    A copy of the insurance carrier shall be submitted with this application for permit.
    
    Electricity not provided for pavilion use.
24. Permittee must read Fee Schedule and sign...
    User and Acknowledgement Page
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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