Permit #41987, Approved

Report 3 Downloads 63 Views
Sign In | Create an Account

Home

Activities

Memberships

 My Cart

Sports

   Permit Contract

Permit #41987, Approved

Pecos Community Center      17010 S. 48th Street PHOENIX, AZ 85048 Phone: (602) 534-5252 FAX: -Email: [email protected]

Nov 22, 2017 4:41 PM

Company: AYSO Region 1046 5742 W. Gary Dr Chandler, AZ 85226

Customer Type: Customer Prepared By: dromero2

Agent: Michael Hollar Email: [email protected] Secondary: (480) 786-3177  Primary: (602) 549-8712 Charges

Taxes

Discounts

Total Charges

Deposits

Deposit Taxes

Total Payments

Refunds

Balance

$6,692.00

$0

$0

$6,692.00

$0

$0

($6,692.00)

$0

$0

RESERVATIONS Event

Resource

Center

Notes

2018 Spring Allocation - AYSO 1046 Youth Soccer Type: Athletic Field - Youth Resident Attend/Qty: 48

Turf Field 04

Pecos Park 17010 S. 48th St. Phoenix, AZ 85048 (602) 262-6111

--

Days Requested Day

Date

Event Begins

Duration

Tuesday

Jan 2, 2018

4:00 PM

Wednesday

Jan 3, 2018

Thursday

Jan 4, 2018

Monday

Event Ends Date

Time

6 hours

Jan 2, 2018

10:00 PM

4:00 PM

6 hours

Jan 3, 2018

10:00 PM

4:00 PM

6 hours

Jan 4, 2018

10:00 PM

Jan 8, 2018

4:00 PM

6 hours

Jan 8, 2018

10:00 PM

Tuesday

Jan 9, 2018

4:00 PM

6 hours

Jan 9, 2018

10:00 PM

Wednesday

Jan 10, 2018

4:00 PM

6 hours

Jan 10, 2018

10:00 PM

Thursday

Jan 11, 2018

4:00 PM

6 hours

Jan 11, 2018

10:00 PM

Friday

Jan 12, 2018

6:00 PM

4 hours

Jan 12, 2018

10:00 PM

Tuesday

Jan 16, 2018

4:00 PM

6 hours

Jan 16, 2018

10:00 PM

Wednesday

Jan 17, 2018

4:00 PM

6 hours

Jan 17, 2018

10:00 PM

Thursday

Jan 18, 2018

4:00 PM

6 hours

Jan 18, 2018

10:00 PM

Friday

Jan 19, 2018

6:00 PM

4 hours

Jan 19, 2018

10:00 PM

Monday

Jan 22, 2018

4:00 PM

6 hours

Jan 22, 2018

10:00 PM

Tuesday

Jan 23, 2018

4:00 PM

6 hours

Jan 23, 2018

10:00 PM

Wednesday

Jan 24, 2018

4:00 PM

6 hours

Jan 24, 2018

10:00 PM

Thursday

Jan 25, 2018

4:00 PM

6 hours

Jan 25, 2018

10:00 PM

Friday

Jan 26, 2018

6:00 PM

4 hours

Jan 26, 2018

10:00 PM

Saturday

Jan 27, 2018

8:00 AM

2 hours

Jan 27, 2018

10:00 AM

Monday

Jan 29, 2018

4:00 PM

6 hours

Jan 29, 2018

10:00 PM

Tuesday

Jan 30, 2018

4:00 PM

6 hours

Jan 30, 2018

10:00 PM

Wednesday

Jan 31, 2018

4:00 PM

6 hours

Jan 31, 2018

10:00 PM

Thursday

Feb 1, 2018

4:00 PM

6 hours

Feb 1, 2018

10:00 PM

Friday

Feb 2, 2018

6:00 PM

4 hours

Feb 2, 2018

10:00 PM

Saturday

Feb 3, 2018

8:00 AM

8 hours

Feb 3, 2018

4:00 PM

Monday

Feb 5, 2018

4:00 PM

6 hours

Feb 5, 2018

10:00 PM

Tuesday

Feb 6, 2018

4:00 PM

6 hours

Feb 6, 2018

10:00 PM

Wednesday

Feb 7, 2018

4:00 PM

6 hours

Feb 7, 2018

10:00 PM

Thursday

Feb 8, 2018

4:00 PM

6 hours

Feb 8, 2018

10:00 PM

Friday

Feb 9, 2018

6:00 PM

4 hours

Feb 9, 2018

10:00 PM

Saturday

Feb 10, 2018

8:00 AM

8 hours

Feb 10, 2018

4:00 PM

Monday

Feb 12, 2018

4:00 PM

6 hours

Feb 12, 2018

10:00 PM

Tuesday

Feb 13, 2018

4:00 PM

6 hours

Feb 13, 2018

10:00 PM

Wednesday

Feb 14, 2018

4:00 PM

6 hours

Feb 14, 2018

10:00 PM

Thursday

Feb 15, 2018

4:00 PM

6 hours

Feb 15, 2018

10:00 PM

Friday

Feb 16, 2018

6:00 PM

4 hours

Feb 16, 2018

10:00 PM

Saturday

Feb 17, 2018

8:00 AM

8 hours

Feb 17, 2018

4:00 PM

Monday

Feb 19, 2018

4:00 PM

6 hours

Feb 19, 2018

10:00 PM

Tuesday

Feb 20, 2018

4:00 PM

6 hours

Feb 20, 2018

10:00 PM

Wednesday

Feb 21, 2018

4:00 PM

6 hours

Feb 21, 2018

10:00 PM

Thursday

Feb 22, 2018

4:00 PM

6 hours

Feb 22, 2018

10:00 PM

Friday

Feb 23, 2018

6:00 PM

4 hours

Feb 23, 2018

10:00 PM

Saturday

Feb 24, 2018

8:00 AM

8 hours

Feb 24, 2018

4:00 PM

Monday

Feb 26, 2018

4:00 PM

6 hours

Feb 26, 2018

10:00 PM

Tuesday

Feb 27, 2018

4:00 PM

6 hours

Feb 27, 2018

10:00 PM

Wednesday

Feb 28, 2018

4:00 PM

6 hours

Feb 28, 2018

10:00 PM

Thursday

Mar 1, 2018

4:00 PM

6 hours

Mar 1, 2018

10:00 PM

Friday

Mar 2, 2018

6:00 PM

4 hours

Mar 2, 2018

10:00 PM

Saturday

Mar 3, 2018

8:00 AM

8 hours

Mar 3, 2018

4:00 PM

Monday

Mar 5, 2018

4:00 PM

6 hours

Mar 5, 2018

10:00 PM

Tuesday

Mar 6, 2018

4:00 PM

6 hours

Mar 6, 2018

10:00 PM

Wednesday

Mar 7, 2018

4:00 PM

6 hours

Mar 7, 2018

10:00 PM

Thursday

Mar 8, 2018

4:00 PM

6 hours

Mar 8, 2018

10:00 PM

Friday

Mar 9, 2018

6:00 PM

4 hours

Mar 9, 2018

10:00 PM

Saturday

Mar 10, 2018

8:00 AM

8 hours

Mar 10, 2018

4:00 PM

Monday

Mar 12, 2018

4:00 PM

6 hours

Mar 12, 2018

10:00 PM

Tuesday

Mar 13, 2018

4:00 PM

6 hours

Mar 13, 2018

10:00 PM

Wednesday

Mar 14, 2018

4:00 PM

6 hours

Mar 14, 2018

10:00 PM

Thursday

Mar 15, 2018

4:00 PM

6 hours

Mar 15, 2018

10:00 PM

Friday

Mar 16, 2018

6:00 PM

4 hours

Mar 16, 2018

10:00 PM

Saturday

Mar 17, 2018

8:00 AM

8 hours

Mar 17, 2018

4:00 PM

Monday

Mar 19, 2018

4:00 PM

6 hours

Mar 19, 2018

10:00 PM

Tuesday

Mar 20, 2018

4:00 PM

6 hours

Mar 20, 2018

10:00 PM

Wednesday

Mar 21, 2018

4:00 PM

6 hours

Mar 21, 2018

10:00 PM

Thursday

Mar 22, 2018

4:00 PM

6 hours

Mar 22, 2018

10:00 PM

Friday

Mar 23, 2018

6:00 PM

4 hours

Mar 23, 2018

10:00 PM

Saturday

Mar 24, 2018

8:00 AM

8 hours

Mar 24, 2018

4:00 PM

Monday

Mar 26, 2018

4:00 PM

6 hours

Mar 26, 2018

10:00 PM

Tuesday

Mar 27, 2018

4:00 PM

6 hours

Mar 27, 2018

10:00 PM

Wednesday

Mar 28, 2018

4:00 PM

6 hours

Mar 28, 2018

10:00 PM

Thursday

Mar 29, 2018

4:00 PM

6 hours

Mar 29, 2018

10:00 PM

Saturday

Mar 31, 2018

8:00 AM

8 hours

Mar 31, 2018

4:00 PM

Monday

Apr 2, 2018

4:00 PM

6 hours

Apr 2, 2018

10:00 PM

Tuesday

Apr 3, 2018

4:00 PM

6 hours

Apr 3, 2018

10:00 PM

Wednesday

Apr 4, 2018

4:00 PM

6 hours

Apr 4, 2018

10:00 PM

Thursday

Apr 5, 2018

4:00 PM

6 hours

Apr 5, 2018

10:00 PM

Friday

Apr 6, 2018

6:00 PM

4 hours

Apr 6, 2018

10:00 PM

Saturday

Apr 7, 2018

8:00 AM

8 hours

Apr 7, 2018

4:00 PM

Monday

Apr 9, 2018

4:00 PM

6 hours

Apr 9, 2018

10:00 PM

Tuesday

Apr 10, 2018

4:00 PM

6 hours

Apr 10, 2018

10:00 PM

Wednesday

Apr 11, 2018

4:00 PM

6 hours

Apr 11, 2018

10:00 PM

Thursday

Apr 12, 2018

4:00 PM

6 hours

Apr 12, 2018

10:00 PM

Friday

Apr 13, 2018

6:00 PM

4 hours

Apr 13, 2018

10:00 PM

Saturday

Apr 14, 2018

8:00 AM

8 hours

Apr 14, 2018

4:00 PM

Monday

Apr 16, 2018

4:00 PM

6 hours

Apr 16, 2018

10:00 PM

Tuesday

Apr 17, 2018

4:00 PM

6 hours

Apr 17, 2018

10:00 PM

Wednesday

Apr 18, 2018

4:00 PM

6 hours

Apr 18, 2018

10:00 PM

Thursday

Apr 19, 2018

4:00 PM

6 hours

Apr 19, 2018

10:00 PM

Friday

Apr 20, 2018

6:00 PM

4 hours

Apr 20, 2018

10:00 PM

Saturday

Apr 21, 2018

8:00 AM

8 hours

Apr 21, 2018

4:00 PM

Monday

Apr 23, 2018

4:00 PM

6 hours

Apr 23, 2018

10:00 PM

Tuesday

Apr 24, 2018

4:00 PM

6 hours

Apr 24, 2018

10:00 PM

Wednesday

Apr 25, 2018

4:00 PM

6 hours

Apr 25, 2018

10:00 PM

Thursday

Apr 26, 2018

4:00 PM

6 hours

Apr 26, 2018

10:00 PM

Monday

Apr 30, 2018

4:00 PM

6 hours

Apr 30, 2018

10:00 PM

Tuesday

May 1, 2018

4:00 PM

6 hours

May 1, 2018

10:00 PM

Wednesday

May 2, 2018

4:00 PM

6 hours

May 2, 2018

10:00 PM

Thursday

May 3, 2018

4:00 PM

6 hours

May 3, 2018

10:00 PM

Monday

May 7, 2018

4:00 PM

6 hours

May 7, 2018

10:00 PM

Tuesday

May 8, 2018

4:00 PM

6 hours

May 8, 2018

10:00 PM

Wednesday

May 9, 2018

4:00 PM

6 hours

May 9, 2018

10:00 PM

Thursday

May 10, 2018

4:00 PM

6 hours

May 10, 2018

10:00 PM

Monday

May 14, 2018

4:00 PM

6 hours

May 14, 2018

10:00 PM

Tuesday

May 15, 2018

4:00 PM

6 hours

May 15, 2018

10:00 PM

Wednesday

May 16, 2018

4:00 PM

6 hours

May 16, 2018

10:00 PM

Thursday

May 17, 2018

4:00 PM

6 hours

May 17, 2018

10:00 PM

Summary

Notes

Total Number of Dates: 105 Total Time: 622 hours

--

RESERVATIONS Event

Resource

Center

Notes

2018 Spring Allocation - AYSO 1046 Youth Soccer Type: Athletic Field - Youth Resident Attend/Qty: 48

Turf Field 05

Pecos Park 17010 S. 48th St. Phoenix, AZ 85048 (602) 262-6111

--

Days Requested Day

Date

Event Begins

Duration

Thursday

Jan 4, 2018

4:00 PM

Thursday

Jan 11, 2018

Thursday

Jan 18, 2018

Thursday

Event Ends Date

Time

6 hours

Jan 4, 2018

10:00 PM

4:00 PM

6 hours

Jan 11, 2018

10:00 PM

4:00 PM

6 hours

Jan 18, 2018

10:00 PM

Jan 25, 2018

4:00 PM

6 hours

Jan 25, 2018

10:00 PM

Thursday

Feb 1, 2018

4:00 PM

6 hours

Feb 1, 2018

10:00 PM

Thursday

Feb 8, 2018

4:00 PM

6 hours

Feb 8, 2018

10:00 PM

Thursday

Feb 15, 2018

4:00 PM

6 hours

Feb 15, 2018

10:00 PM

Thursday

Feb 22, 2018

4:00 PM

6 hours

Feb 22, 2018

10:00 PM

Thursday

Mar 1, 2018

4:00 PM

6 hours

Mar 1, 2018

10:00 PM

Thursday

Mar 8, 2018

4:00 PM

6 hours

Mar 8, 2018

10:00 PM

Thursday

Mar 15, 2018

4:00 PM

6 hours

Mar 15, 2018

10:00 PM

Thursday

Mar 22, 2018

4:00 PM

6 hours

Mar 22, 2018

10:00 PM

Thursday

Mar 29, 2018

4:00 PM

6 hours

Mar 29, 2018

10:00 PM

Thursday

Apr 5, 2018

4:00 PM

6 hours

Apr 5, 2018

10:00 PM

Thursday

Apr 12, 2018

4:00 PM

6 hours

Apr 12, 2018

10:00 PM

Thursday

Apr 19, 2018

4:00 PM

6 hours

Apr 19, 2018

10:00 PM

Thursday

Apr 26, 2018

4:00 PM

6 hours

Apr 26, 2018

10:00 PM

Thursday

May 3, 2018

4:00 PM

6 hours

May 3, 2018

10:00 PM

Thursday

May 10, 2018

4:00 PM

6 hours

May 10, 2018

10:00 PM

Thursday

May 17, 2018

4:00 PM

6 hours

May 17, 2018

10:00 PM

Summary

Notes

Total Number of Dates: 20 Total Time: 120 hours

--

CHARGES Event / Resource

Description

Unit Fee

Units

Tax

Charge

Athletic Light Fee

2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 04

$5.00

368.00

--

$1,840.00

Reservation Fee

2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 04

$6.00

622.00

--

$3,732.00

Athletic Light Fee

2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 05

$5.00

80.00

--

$400.00

Reservation Fee

2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 05

$6.00

120.00

--

$720.00

Payments and Refunds Receipt #

Date

Charge Description

Resource Event

Payment

1009834.018 Dec 19, 2017 Athletic Light Fee

Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987

$1,840.00

1009834.018 Dec 19, 2017 Reservation Fee

Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987

$3,864.00

2001035.018 Jan 12, 2018 Reservation Fee

Turf Field 04 Credit for 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987-Reservation Fee

2001035.018 Jan 12, 2018 Reservation Fee

Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987

2001036.018 Jan 16, 2018 Reservation Fee

Turf Field 04 Credit for 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987-Reservation Fee

2001036.018 Jan 16, 2018 Reservation Fee

Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987

$3,732.00

1009834.018 Dec 19, 2017 Athletic Light Fee

Turf Field 05 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987

$400.00

1009834.018 Dec 19, 2017 Reservation Fee

Turf Field 05 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987

$720.00

($3,864.00) $3,816.00 ($3,816.00)

CUSTOM QUESTIONS Question

Answer

What is the Insurance Expiration Date MM/DD/YYYY

7/1/2018

WAIVERS Facility Use Eligibility Agreement Waiver for:Michael Hollar Due Date: Jan 2, 2018 Facility Use Eligibility. Field Conditions and Maintenance - Any concerns with the condition of your assigned field, equipment or park grounds should be reported to your field coordinator. Prior to beginning your activity, team coaches or league officials should inspect the field and related equipment to ensure it is in acceptable condition for the scheduled activity. Your organization needs to exercise good judgment emphasizing participant safety. Any suggestions or questions regarding our maintenance practices should be directed to the appropriate Field Coordinator. Organizations are not to make any repairs, modifications, alterations or adjustments to any portion of the field, equipment or park grounds. Failure to obtain required insurance and all permits and licenses required by law, ordinance, or Parks and Recreation Department rules and regulations; AND/OR failure to comply with any law, city ordinance, park regulation, established stipulations of usage, or reasonable request from an authorized staff person can result in immediate suspension of facility use privileges, AND/OR citation, AND/OR loss of eligibility to utilize any City of Phoenix facilities on the part of the individual(s) AND/OR the user group.

Waiver Signed by:AYSO Region 1046 on Nov 22, 2017 Release of Liability Waiver for:Michael Hollar Due Date: Jan 2, 2018 In exchange for me or my child being allowed to participate in the City of Phoenix Parks and Recreation activities, programs or leisure, I hereby for myself, my child, my heirs and assigns, agree to waive, release and forever discharge any and all claims, rights and causes of action against the City of Phoenix, its officers, officials, employees, agents and volunteers (the City), for injury or damage caused or alleged to be caused in whole or in part by the negligence of the City. I understand that this means that I will not make any claims against or sue the City of Phoenix, its agents or employees, for injuries or damage sustained by me or my child. I recognize that this means I will not recover any money from the City of Phoenix, its agents or employees, for injuries or damage sustained by me or my child. I recognize that the negligence of the City of Phoenix may include, but is not limited to, acts or failure to act regarding facilities and equipment maintenance, field design, construction, instructions of City personnel, interpretation and enforcement of rules, provision of medical or emergency medical assistance, inattention, and supervision of participants and their surrounding environment. I recognize that injuries and damage may be caused by any of the following: falling; tripping; being pushed; running; sliding; exposure to bodily fluids, infection or disease; bodily reactions to insect or animal bites, food or materials used in the activity; striking or being struck by another individual; equipment used in the activity; a condition of the land or building where the activity is located; drowning; criminal acts of known or unknown persons; an error in administering first aid; or by a motor vehicle accident; and other similar acts, incidents or conditions. The type of injuries may range from minor injuries and fractures to paralysis, brain damage and death. I understand and expressly agree that this waiver and release of all claims is intended to be as broad and inclusive as permitted by the laws of Arizona. If any portion of this waiver is held invalid, I agree that the remainder shall continue in full force and effect. Also, and in addition to the above waiver and release, I understand and voluntarily assume all risks associated with my child's or my own participation in this activity. I (or my child) am physically capable of participating in this activity. I (or my child) have the necessary degree of skill, training, experience or ability to participate at the level I choose. I do not expect the City to coach, manage, instruct or train me (or my child). I understand that the City does not carry insurance to cover participants, and that there would be an increase in the activity fee if the City were to provide insurance. Waiver Signed by:AYSO Region 1046 on Nov 22, 2017 Signature: ____________________________________

The signed has read and on behalf of the Client agrees to be bound by this Permit and the Terms and Conditions contained herein and attached hereto, and hereby warrants and represents that he/she executes this Permit on behalf of the Client and has sufficient power, authority and capacity to bind the Client with his/her signature. Permit Revocable at Will: This revocable permit is subject to revocation at any time in the discretion of the City Council or by the City Manager or his designee. Such discretion shall be controlled solely by consideration of the best interests of the City of Phoenix; which may include but are not limited to violation or breach of any federal, state or City of Phoenix law, ordinance, code, rule, regulation, court decree or any condition of this permit. For a complete list of Park Regulations, please visit: http://www.codepublishing.com/az/phoenix/html/Phoenix24/Phoenix24.html. Applicant is responsible for following all park regulations. Violations of these regulations may jeopardize this Special Use Permit and/or future requests. Fees are subject to change based on City Council and/or Parks and Recreation Board action. Disorderly Conduct: The Phoenix Parks and Recreation Department reserves the right to eject or cause to be ejected any person or persons considered by staff to be disorderly. Disorderly conduct includes, but is not limited to, conduct committed with the intent to disturb the peace or quiet of a neighborhood, family or person by engaging in fighting or seriously disruptive behavior; or by making unreasonable noise; or by using abusive or offensive language with the likely result of provoking physical retaliation. For the Policy on Codes of Conduct, please visit http://phoenix.gov/parks/parks/rules/codeconduct.html. *Emergency after business hours issues ON DAY OF THE ACTIVITY Contact: (DTD) Downtown Division (602)262-6412, (NED)Northeast Division Parks (602)262-6696, (NWD) Northwest Division Parks (602)262-6575, (NRD) Mountain Preserves (602)4955458, (SD) South Division Parks (602)262-6111, (SOD) Special Operations (602)261-8011 .

City of Phoenix Parks and Recreation

Methods of Payment

200 W. Washington, 16th Floor

Visa, MasterCard, Discover Card, Other

Phoenix, AZ 85003 Monday through Friday8:00 am - 5:00 pm

Have Questions?

Tel. (602) 262.6861

Online Registration FAQs

Email: [email protected]

Terms of Use

|    Copyright Policy

|    Cookie Policy

City of Phoenix's Policies: Terms of Use

|    Your Privacy Rights

|    Your Privacy Rights

    

© 2018 Active Network, LLC and/or its affiliates and licensors. All rights reserved.

|    Security