Section 1 of 1 in this document
Field Usage Request Form
Full Name
First Name
*
Last Name
*
Phone Number
Email
Personal Full Address
Street Address
City
State
Zip
Organization Name
Sport
Age Group
Is the Organization Insured
Yes
No
Start Date Requested
End Date Requested
Time Block Requested
Field Requested
Softball Field 1
Softball Field 2
Softball Field 3
Football Field
Full Soccer Field
U8-12 Field A (when soccer field is split)
U8-12 Field B ((when soccer field is split)
5th Street Park
Bellview Park
Field Requested
Softball Field 1
Softball Field 2
Softball Field 3
Football Field
Full Soccer Field
U8-12 Field A (when soccer field is split)
U8-12 Field B ((when soccer field is split)
5th Street Park
Bellview Park
Field Requested
Softball Field 1
Softball Field 2
Softball Field 3
Football Field
Full Soccer Field
U8-12 Field A (when soccer field is split)
U8-12 Field B ((when soccer field is split)
5th Street Park
Bellview Park
Days of the Week Requested for Field Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Have you contacted the City about your usage request prior to completing this request form?
Yes
No
Any questions, please contact Erin Parker at eparker@fairmontwv.gov
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