Union City Turf Management and Facility Operations

Field Usage Permit: Recreational Users 

_______________________________________________            ______________________________

Group/Individual User                                                                         Contact Person

                                                                                                                     ______________________________

                                                                                                          Contact Phone #

_______________________________________

Field Requested   

_____/_____/_____              _____/_____/_____

Start Date                              End Date

I understand that municipal fields have policies and procedures that must be followed and take full responsibility for any liability or damage to fields and/or facilities during usage.  I also agree to hold harmless the City of Union City in the event of injury or death, or damage to property resulting from field usage during this time period.  I likewise, understand that facilities may not be used for personal profit, and thus will not be holding a camp or clinic during the period of usage.  This permit is for recreational usage of a facility only, no organized team play is permitted.   

_____________________________________________                     _____/_____/_____

Responsible Individual                                                                                 Date

_____   The individual or group using the field is doing so for recreational purposes only

_____   The individual or group has filed a hold harmless agreement for field usage

Permit Approved:

____________________________________________                       _____/_____/______

Stephen C. Crockett – Director                                                                     Date Approved