General Facility Rental Application
General Facility Rental Application Warwick Recreation Center 29 Copeland Lane, Newport News, VA 23601 Phone: 757-591-4892 Fax: 757-591-4925 [email protected]
(Groups requesting multiple fields must fill out one Rental Application per field or facility)
Name of Organization ____________________________________________________________________ Contact Person __________________________________________________________________________ (must be the person signing this contract and the authorized representative of the organization)
Mailing Address _________________________________________________________________________ _______________________________________________________________________________________ Cell Phone _________________________________ Alternate Phone _____________________________ Email Address ___________________________________________________________________________ Field Requested _________________________________________________________________________ Use Dates ________________________________ to ___________________________________________ Requested Days of the Week & Times: Monday:
Wednesday:
Tuesday:
Thursday:
Friday:
Saturday: Sunday:
Number of Participants/Teams _____________________________________________________________ (Rosters with names, addresses and ages should be attached) Intended use (practices, games, trainings, clinics, etc.) __________________________________________ _______________________________________________________________________________________ Insurance Information: (All insurance must be approved through the City Attorney’s Office) Policy Effective Date__/__/__ Policy Expiration Date __/__/__ Insured Group:_______________________ I have read and understand all policies and procedures regarding rental of this facility/fields and agree to all terms as stated in the reservation policies and the conditions of use agreement. I understand that by signing this facility/field contract I am responsible for the actions of those I include in my event and will follow and enforce all facility/field regulations with my group. ___________________________________
__________________________________
(Authorized Signature)
(Title)
For NNPRT STAFF use only: Required documents submitted: ___ Insurance (certificate #______________)
_____________________________ (Date)
___ Outdoor Facility
___ Indoor Facility
___ Schedules
Field use fee: ______________________ per day per field. Organization must pay all fees 48 hours prior to use Special Conditions: __________________________________________________________________________________________ This authorizes the above organization has been approved to use the facility on the dates and times indicated. ____________________________________ (Authorized Signature)
____________________________________ (Title)
____________________________ (Date)
(Groups requesting multiple fields must fill out one Rental Application per field or facility)
Name of Organization ____________________________________________________________________ Contact Person __________________________________________________________________________ (must be the person signing this contract and the authorized representative of the organization)
Mailing Address _________________________________________________________________________ _______________________________________________________________________________________ Cell Phone _________________________________ Alternate Phone _____________________________ Email Address ___________________________________________________________________________ Field Requested _________________________________________________________________________ Use Dates ________________________________ to ___________________________________________ Requested Days of the Week & Times: Monday:
Wednesday:
Tuesday:
Thursday:
Friday:
Saturday: Sunday:
Number of Participants/Teams _____________________________________________________________ (Rosters with names, addresses and ages should be attached) Intended use (practices, games, trainings, clinics, etc.) __________________________________________ _______________________________________________________________________________________ Insurance Information: (All insurance must be approved through the City Attorney’s Office) Policy Effective Date__/__/__ Policy Expiration Date __/__/__ Insured Group:_______________________ I have read and understand all policies and procedures regarding rental of this facility/fields and agree to all terms as stated in the reservation policies and the conditions of use agreement. I understand that by signing this facility/field contract I am responsible for the actions of those I include in my event and will follow and enforce all facility/field regulations with my group. ___________________________________
__________________________________
(Authorized Signature)
(Title)
For NNPRT STAFF use only: Required documents submitted: ___ Insurance (certificate #______________)
_____________________________ (Date)
___ Outdoor Facility
___ Indoor Facility
___ Schedules
Field use fee: ______________________ per day per field. Organization must pay all fees 48 hours prior to use Special Conditions: __________________________________________________________________________________________ This authorizes the above organization has been approved to use the facility on the dates and times indicated. ____________________________________ (Authorized Signature)
____________________________________ (Title)
____________________________ (Date)
