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<br />Name: ___________________________________ <br />Phone: ___________________ <br />Email: ___________________ <br />Organization (if applicable): ___________________________________ <br />Date Submitted: ____ / ____ / ______ <br />Purpose of Use: _____________________________________________ <br />Expected Attendance: __________ <br />Special Requests (lighting, equipment, etc.): ________________________ <br /> <br />Facility Requested <br />☐ Court(s) ☐ Lions ☐ Pebble ☐ Tablyn <br />☐ Ballfield(s) ☐ VFW ☐ Lions ☐ Reid ☐ Pebble ☐ Tablyn <br />☐ Pavilion(s) Location: __________________ <br /> <br />Month(s) Requested <br />☐ January ☐ February ☐ March ☐ April ☐ May ☐ June ☐ July <br />☐ August ☐ September ☐ October ☐ November ☐ December <br /> <br />DATE: _____________________ Time(s) Requested (Courts 3 HR Blocks) <br />Morning ( __:00 AM – ___:00 PM) <br />☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Saturday ☐ Sunday <br />Afternoon (___:00 PM – ___:00 PM) <br />☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Saturday ☐ Sunday <br />Evening (___:00 PM – ___:00 PM) <br />☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Saturday ☐ Sunday <br /> <br />Courts: Individual: $20/ 3-hour block. Groups: $100 per week for up to 3-hour blocks <br />Ballfields: VFW/ Lions - $50 per day or $500 per season - Other: $20 per reservation or $250 for the season <br />Pavilions: Full ($100) or Half Day ($50) (6 or 12 hours, with $50 Security Deposit). <br /> <br />Office Use Only <br />Approved Facility: ___________________________ <br />Date(s): ___________________________