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2. Name*
4. Address
6. City
7. State
8. Zip Code
10. Phone Number
11. Fax Number
13. Email Address*
15. Organization that you represent (if applicable)
17. Organization Purpose
19. Event purpose and description*
    Let us know what you plan to do at your event and what the goal of the event is.
21. Which space do you want to rent?*

    1. Acorn Hill
    2. Center Field
    3. Pease Rd
    4. West River

    Any roster that does not contain at least 50% Woodbridge residents will be charged $50 per field, per up to 2 hour time slot, $100 per field, per up to 4 hour time slot, and $200 per field for all day usage.
23. start date and time*
    start date and time

    start date and time
24. end date and time*
    end date and time

    end date and time
26. What days of the week are you requesting?*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
28. Is this person the responsible party for this organization*
    -- Select One --YesNo
30. If no, let us know the responsible party for this organization and who will be onsite the day of the event and their cell phone number
32. Is the program for adults or children*
    -- Select One --AdultsChildren
34. How many participants (specifically what percentage are Woodbridge Residents?
36. I have read the field use policy and procedures above and agree to comply.*

    1. Yes
38. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Certificate of Insurance requirements
    Sponsoring organizations are responsible for the conduct of all persons in attendance and for any property damage done. Sponsoring organizations will be required to have a public liability and property insurance policy. A certificate shall be provided to the Board of Selectmen prior to the event. Insurance coverage required: General Liability Each Occurrence $1,000,000, General Aggregate $2,000,000
41. Electronic Signature
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field