Please complete the form below. All required fields are marked with an asterisk (*).
*Name of use group:
*Contact person for group:
*Contact person phone (day): ()- x
*Contact person phone (evening): ()- x
*Address of contact person:
*City:
*State:
*Zip Code:
*Email address:

Event information:

*Date(s) of event (use):
*Time(s) of event (use):

Description of event (use):

Attendance information:

Approximate number of participants:
Approximate number of spectators:

Special arrangements requested

(minimum of five working days notice required):

Type of field/facility requested

Football Softball Baseball Soccer Open green space
Picnic Playground Picnic Playground Pool facility
Meeting room Gym Tennis courts Basketball Picnic
Playground Pool facility Meeting room Gym Tennis courts
Basketball

Specific site requested

Barnes park Vet's park Moody park Arrowhead
Monadnock park Broad St. park Zotto Gym Indoor pool
Outdoor pool JSL GCC MTG. room