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TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: \ P L i Contact Name: Cell Number: 7 (p C) - z i - - q 1 Date: /)/Zt//fq O Petrack Park: Fields: A B C Months: Days: Times: Ian Deutch Memorial Park: Fields: I V 2 3 Months: Uc) it) Z Days: M—(j- U Simkins Park: Field: Infield Months: Days: Outfield Times: P c.’c)v- Ooo Times: ‘.‘t.Vcp, _)2fr ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] Email: uj t “o ‘cY1i Number of Participants / Teams using fields: y[r -J9z The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. 4 ---PAGE BREAK--- TOWN OF PAH RUMP FIELD ALLOCATION FORM Organization: Rt LDC& cldb Date: QJ€’r 3 Contact Name: to1ck uLi c’e( /oe o Cell Number: — /VJ Email: SW Vf Ii’ GC-&r9 yøincv. aTrYl - Number of Participants I Teams using fields: /0 - The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. Petrack Park: Fields: A B C Months: /‘.Jov fec c_b A—pii Days: 1S-iLc’y S’ci&1 t’ci Times: Fri I D Ian Deutch Memorial Park: Fields: 1 2 3 4 Months: Days: Times: D Simkins Park: Field: Infield Outfield Months: Days: Times: ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pabrump, NV 89048 I 1:LlW.) /2 c7.3icL(i. ar?i.L 74-’_ /21,vyi ---PAGE BREAK--- ADDffIONAL REQUESTS TOWN OF PAHRUMP FIELD ALLOCATION FORM Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] Organization: Rec 04 in cLc( k) Date: dbk’ Contact Name: dL/? (51& CeliNumber: Email: 5L-,120l( fO(h ip(i-) yJov cô’v— c( 14icwa’s,c’, Number of Participants I Teams using fields:/& /óZ7 The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of$300. 3. Liability Insurance NamIng Town of Pahrump as the Additionally Insured. Petrack Park: Fields:A B C Months: Of J&3 Air cé) p/ciLe, Oclcc-r Days: 1ric&j SckuL 1Lgj Times: - /2 I Li’ Ani - 1A-,-1 ill 12 Li Ian Deutch Memoriai Park: - /0 ri-u Fields: 1 2 3 4 Months: Days: Times: Li Simkins Park: Field: Infield Outfield Months: Days: Times: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Times: Oo - Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] Organization: Date: ot ° ContactName: CeilNumber: 70Z- L/ Email: s q Number of Participants / Teams using fields: 1 2 The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. Petrack Park: Fields:A B C Months: Oc}c — Days: Oj3 / El Ian Deutch Memorial Park: Fields: 1 2 3 4 Months: Days: Times: El Simkins Park: Field: Infield Outfield Months: Days: Times: ADDITIONAL ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATIONS - Organization: Jr. Trojans Soccer Club (Nevada Youth Soccer Association) Contact Name: Amy Carison I Dusty Park Cell Number: [PHONE REDACTED] / [PHONE REDACTED] Email: [EMAIL REDACTED] I [EMAIL REDACTED] Number of Participants / Teams using fields: 130 Kids! teams The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. lI Petrack Park: Fields:A B X C X Months: Nov.1,2019 - Nov. 1,2020 Days: Mon. - Sat. Times: 5:00-9:00 P.M. Monday-Friday 8:00 A.M.-2:00 P.M. LI Ian Deutch Memorial Park: Fields: 1 2 3 4 Months: Days: LI Simkins Park: Field: Infield Months: Days: Times: ADDITIONAL REQUESTS: We would like to stay on Field B & C Year round Times: Outfield Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: Connie Mack Summer Baseball (Pahrump Valley Youth Baseball) Contact Name: Brian Hayes Cell Number: [PHONE REDACTED] Email: bhayes(nyeschools.org Number of Participants / Teams using fields: 30+ kids/2-3 teams The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. x Ian Deutch Memorial Park: Fields:1 2 3 4 Months: May, June, July Days: : TBD by schedule (schedule is made in early May Times: games no earlier than 5 PM, practices no earlier than 6 PM Town of Pahrump 2100 E. Walt Williams Dr., Suite #100775-727-2815 Pahrump, NV 89048 ---PAGE BREAK--- TOWNOFPAHRUMP FIELD ALLOCATION FORM Organization:?cu(lA S&L( Date: C(Lj9L)’’ Li V3J Contact Name: id k-J Cell Number: ‘ L 3’ c9L/ 2 Email: 44oIi é? jCl’1V. Number of Participants / Teams using fields: /5 The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. ETietrack Park: Fields:A B C Months: u1V t) c3f Days: Times: S DL) -1 ?q2LL D Ian Deutch Memorial Park: Fields: 1 2 3 4 Months: Days:___ Times: D Simkins Park: Field: Infield Outfield Months: Days: Times: - ADDITIONAL REQUESTS: Town of Pahrump 2100 E, Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: Pcuiqj’ Jroc.€c. (1 Date: ii - 7/9 Contact Name: F-ecJ CellNumber: 7o- 3- 9) Email: fl C 4eri( r’1c-/ Number of Participants / Teams using fields: I I2 Jc.c- The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. L Petrack Park: Fields: A B C Months: Days: Times: gf Ian Deutch Memorial Park: Fields:1 2 3 4 Months: Sc., Days: Times: Io D Simkins Park: Field: Infield Outfield Months: Days: Times: ADDITIONAL REQUESTS: \4 4L-L k.4,1/e Lcp i1p-J ue £‘ii cre u(I w,rk 4-’kp Town of Pahrump 2100 E. Walt Williams Dr., Suite fllOO [PHONE REDACTED] Pahrump, NV 89048 ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM ii! ‘7 Contact Name: l Cell Number: 77 - 71 l’ô2_ Email: PV. &n’vt Number of Participants / Teams using The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. Petrack Park: Fields:A B C Months: Md tack - 2 ozo - - Times: 0 Ian Deutch Memorial Park: 2 3 4 Fields: I Months: Days: 0 Simkins Park: Field: Infield Months: Days: Times: Outfield Times: ADDITIONAL Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048