Outdoor Facility and Field Use Permit Application
This form must be completed by any team, league, organization or individual(s) wishing to hold an activity on ANY OUTDOOR town recreational field or facility. Form must be filled out and submitted at least 4 weeks prior to event, along with COVID control plan, Certificate of Liability Insurance and payment. Forms submitted after this date may not be considered for approval. Checks are made payable to WESTERLY RECREATION DEPARTMENT; 15 Church Street, Bradford, RI 02808
Town of Westerly Recreation Department, 15 Church St. Bradford, RI 02808
League/Organization Name *
Check which box applies *
Required
Director's/Applicant's Name *
Address *
Telephone Number *
E-Mail Address *
Type of Sport *
Required
If you checked "Other" above, please specify
Number of Teams *
Total Number of Participants *
Start Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time *
Time
:
Field/Facility Requested *
Required
Number of Games/Sessions Scheduled per Week *
Number of Weeks in Session *
Days of the Week Requested *
Required
Field Use Fee Schedule *
Required
All (Leagues/Organizations/Groups/Individuals) are Required to Pay an Annual $50 Administrative Fee. Above referenced fees may be adjusted for tournaments and/or by vote of Recreation Board. Checks payable to WESTERLY RECREATION DEPARTMENT; 15 Church Street, Bradford, RI 02808. COVID Control Plan and Certificate of Liability Insurance MUST be provided to the Westerly Recreation Department before activity start date. *
Required
Digital Signature (by printing name below, you agree that you have read all aforementioned terms of this agreement, agree to adhere to all policies set forth by the Town of Westerly and Westerly Recreation Department and all COVID guidelines. *
Date of Application Request *
Submit
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