Facility Request Form
ADVERTISEMENT
1
2Hebron Parks & Recreation
Mailing Address
Office Address
15 Gilead Street
Burnt Hill Park
Hebron, CT 06248
148 East Street
860-530-1281
Hebron, CT 06248
860-228-5912 Fax
FACILITIES REQUEST FORM
Please provide us with the following information to assure your league the use of the requested
facility. We will make every effort to provide you with safe and playable fields and facilities. In
the event of a conflict, you will be notified to re-schedule your request or to make other
arrangements. Because of the growing concern for liability and insurance, each group
requesting facilities must complete this form. If you are applying on behalf of an organized
group, please attach a copy of your Organizations’ Certificate of Insurance.
Date of Application:________________
Name of Applicant:_____________________________________ Contact #_______________
Organization Name:____________________________________ Contact #_______________
(if applicable)
Address:_______________________________ Town________________ Zip______________
Purpose of Use:_________________________________________________________
Date(s) of Use: _______________________ Hours: ________ to ______________
Please indicate Season:
SPRING
SUMMER
FALL WINTER
Place an “X” to indicate facilities requested:
Veteran’s Memorial Park:
Burnt Hill Park:
____ Softball Field
____ Grayville Falls Park (Picnic Area) ____ Baseball 1 ____Multi-Field 1
____ Soccer Field
____ Town Gazebo (Town Hall)
____ Baseball 2 ____ Multi-Field 2
____ Baseball Field
____ Old Colchester Road Field
____ Multi-Field 3
______ Grayville
OTHER: (please describe)_______________________________________
In making this application, we hereby agree to comply strictly with the rules and
regulations as adopted by the Town of Hebron.
___________________________
_____________________________________
Print Name
Signature
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal