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2. The Town of Fuquay-Varina Parks, Recreation & Cultural Resources Department (FVPRCRD) manages the scheduling and maintenance for all Town athletic facilities to ensure equitable distribution, achieve maximum use of and maintain a safe, quality environment. When necessary, the Town may close certain facilities due to safety issues or to protect them from overuse. Keeping the Town’s athletic fields in optimum condition involves managing the amount of play a field receives and allowing time for proper maintenance to occur. Continued cooperation between the Town and athletic field users is a critical component of this management. For field closure information, users can visit www.fvparks.org and select the “Field Status” icon or call the Town’s weather hotline at 919-552-2698. If your facility is listed as closed, then no activities may be held on the field. Each is updated weekdays by 4:00pm and Saturdays by 8:00am and Sundays as needed. Please refer to the Athletic Facilities Policies and Procedures for more specific rules and regulations regarding field reservations and use in the Town of Fuquay-Varina. Town owned athletic facilities are intended to provide quality recreational experiences and activities and not to be utilized for commercial or private gain. The Town may deviate from the policies and procedures outlined in this manual when determined, by the Town of Fuquay-Varina Parks, Recreation & Cultural Resources Director or their designee, to be necessary and appropriate.
4. Organization Name*
5. Athletic Activity (Baseball, Softball, Soccer, etc)*
7. Address (Street, City, State and Zip Code)*
   (Please list address used to obtain liability insurance policy.)
9. Contact Name*
10. Date of Birth*
    Date of Birth
12. Address
    (If different from organization address above)
14. Phone Number*
15. Cell Number*
16. Email Address*
18. Field Type Requested*
    -- Select One --Baseball (40/60 - No Mound)Baseball (46/60)Baseball (50/70)Baseball (54/80)Baseball (60/90)GymnasiumSoccerSoftball (35/60)Softball (40/60)
19. Facility Preference*

    1. Action Park
    2. Ballentine Park
    3. Banks Road Park
    4. Council Gymnasium
    5. Falcon Park

    1. Fleming Loop Park
    2. Honeycutt Road Park
    3. South Park
    4. Willow Lakes Park
21. Short Term Rental Dates
    Short Term Rental Dates Start Date

    Short Term Rental Dates Start Time

    —

    Short Term Rental Dates End Date

    Short Term Rental Dates End Time
22. 2
    2 Start Date

    2 Start Time

    —

    2 End Date

    2 End Time
24. 3
    3 Start Date

    3 Start Time

    —

    3 End Date

    3 End Time
25. 4
    4 Start Date

    4 Start Time

    —

    4 End Date

    4 End Time
27. Long Term Rental Dates
    Long Term Rental Dates Start Date

    —

    Long Term Rental Dates End Date
29. Long Term Rental Day 1
    -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday
30. Long Term Rental Time
    Long Term Rental Time Start Time

    —

    Long Term Rental Time End Time
32. Long Term Rental Day 2
    -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday
33. Long Term Rental Time
    Long Term Rental Time Start Time

    —

    Long Term Rental Time End Time
35. Document Upload
    -Please upload a copy of your organizations insurance policy. Please refer to the Athletic Facility Rental Policy Manual for insurance requirements. Field Rentals will not be made without appropriate insurance.
37. By completing and submitting this form, the Organization and all Organizational Contacts are agreeing to the policies and procedures as listed in the Athletic Facility Rental Policies and Procedures Guide posted above. Failure to abide by these policies and procedures could lead to forfeiture of current reserved field time as well as future consideration for field use.
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field