TOWN OF ABINGTON
PARK AND RECREATION DEPARTMENT
781.982.2125
TOWN OFFICES
500 Gliniewicz Way
Abington, MA 02351
2015 - APPLICATION FOR FIELD ASSIGNMENTS / PERMITS
Name of Organization ______
Contact Name ______
Address: ______
Phone # ______Cell # ______
Email ______
FIELDS REQUESTED DATES TIME
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Number of Days your group will want field / fields
Mon ______Tue ______Weds ______Thurs ______Fri ______Sat ______Sun ______
This is not a Field Permit - permits will be issued upon approval by the Park and Recreation Commission. Be prepared at a later date to submit team rosters including names and address if required.
SIGNED: ______DATE: ______
The person whose name appears above is responsible for the actions of all persons using the field site in association with this permit. This includes the collection and payment of a Twenty-Five Dollar ($25) “Field Maintenance Fee” for each athlete registered to play within their program. This new fee will be assessed on each athlete during each season of play.