Form Center

2. Please Note
   Applications must be made at least 15 days prior to the first proposed usage of the field. They may be submitted for a period of up to one year, calculated from the date of first usage.
4. Group Name
5. Activity
7. Requested Day and Beginning to End Time
   Requested Day and Beginning to End Time Start Date

   Requested Day and Beginning to End Time Start Time

   —

   Requested Day and Beginning to End Time End Date

   Requested Day and Beginning to End Time End Time
9. Coordinator
   Must be at least 21 years old.
11. Email Address
13. Address
15. City
16. State
17. Zip Code
19. Phone Number
21. Approximate Number of Participants
23. Field Use Policies
    - The permit holder is responsible for maintaining orderly conduct among all persons attending an activity.
    - Any area permitted must be cleared of trash and debris by the end of the event. If weather conditions cause the field to be unsuitable for use prior to or during the permitted time, no use of any type shall commence or continue.
    - All organizations or individuals requesting a use permit shall be required to agree as part of their application to hold the Town harmless from any claims or losses resulting from the use of the field no caused by the act or omission of the Town, its agents, servants and employees.
25. eSignature
    By entering your name as coordinator, each organization coordinator and their group agree to abide by the listed policies.
26. Date
    Date

    Date
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field