SPORTS FIELD RENTAL APPLICATION

 
Name of Organization or Person: 
 
Address:
 
City: State:   Zip:  
 
Phone:   Fax:  
 
Contact Person (s):
 
 
Phone: Cell:  
 
Email:
 
Age Group: Mound:   ft. Bases:   ft.
 
Baseball: Soccer:
 Field 1  Field 1
 Field 2  Field 2
 Field 3  
 
Date & Time 1 :  
 

APPLICANTS MUST FOLLOW ATTACHED RULES & REGULATIONS OR BE SUBJECT TO
DENIAL OF USE OF FIELDS. A CERTIFICATE OF LIABILITY INSURANCE NAMING
MEDINA TWP AS AN ADDITIONAL INSURED MUST BE SUBMITTED WITH APPLICATION

(If rainouts cannot be rescheduled, you will be reimbursed for that game)
(You will not be reimbursed for games cancelled for any other reason)