Union City Department of Turf Management and Facility Operations

Field Usage Permit: Travel & Club Teams

____________________________________________                    ______________________________

Team Requesting Field                                                                      Contact Person

                                                                                                                       ______________________________

                                                                                                            Contact Phone #

____________________________________________

Field Requested

______/_____/______                    _____/_____/_____

Start Date                                        End Date

I understand that municipal fields are prioritized for sanctioned league and scholastic teams as a first priority.  I agree to take full responsibility for liability or damage to the facilities during usage.  I also agree to hold-harmless the City of Union City in the event of injury or death, and damage to personal property during the time of field usage.  This policy is for club and travel teams, and covers practice and games that may take place in a municipal facility. 

_____________________________________________                  _____/_____/_____

Responsible Individual                                                                       Date

Office Use Only

______   Hold harmless agreement has been filed

______   Roster of Players Turned In

______   Dates/Schedules Approved

Request Approved by the Director:

_______________________________________________                   _____/_____/_____

Stephen C. Crockett, Director                                                                  Date Approved