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TOWN OF PAHRUMP FIELD ALLOCATION FORM Oreanizati on: ate: Contact Name: - CeliNumbcr: 773 S3S TzmaiI. - \ Number of Participants / Teams using icids: 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: Fiehis: A B / Months: Days: - Times: Ejan Deutch Memorial Park: Fields: I 2 3 4 Months: - Days: Times: S’3-_ Simkins Park: Field: Intield I7I (Dutlield Months: Days: Times: ADD1T1O AL RLQUSTS I 7 &\jJC — fr( I r v’ Town of Pahrurnp 2100 L. Waft Wifliarns Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 ---PAGE BREAK--- TOWN OF PAH RUMP FIELD ALLOCATION FORM Organization: Pahrump Jr. Trojans Soccer Club Date: 6/6/2022 Contact Name: Amy Carison Cell Number: [PHONE REDACTED] Email: jrtrojanssoccerclub©gmail.com 214 players as of 6/1/2022 (approx 22 teams) 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. We uiiderstand that the Adult Softball uses Field B durino Petrack Park: the week sonic of the months we are requesting and will coordinate w itli them to ensure we are off the field in 1111w on Fields: A B C the nights the have gaines. July 2022 - December 2022 Months: Monda throu h Saturda” Monday through Thursday 5:OOp.m-9:30p.m; Fridays Times: 5:00p.m -10:30pm.; Saturdays 7;OOa.m-1:OOp.m. Ian Deutch Memorial Park: Fields: I 2 3 4 Months: Days: Times: Simkins Park: Field: Infield fl Outfield Months: Days: Times: ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 Days: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: Pahrump Valley Obedience Club Date: June 3,2022 ContactName: Helen W. Schneider Cell Number: 775/537-6355 Email: Number of Participants / Teams using fields: 30 to 40 people & dogs 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:Afl BLI CLI Months: Days: Times: LI Ian Deutch Memorial Park: Fields: i LI 2 LI LI Months: Days: Times: [Z]Simkins Park: Field: Infield LI Outfield July, Aug., Sept., Oct., Nov., & Dec. Months: Saturdays 6:00 am to Noon Days: Times: ADDITIONAL REQUESTS: Sunday October 25, 2022 -Petrack Park Field B - 6:00am to 2:00 pm Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Fields: 1 LI 2JL3 LI Months: Days: Times: Simkins Park: Field: Infield [J Outfield LI Months: - Days: 5A1AVc}9 ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt WiHiams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] Organization: ‘32nflj PIOLV1t f 19V1 k4te: flr9 Contact Name: L.4 U Ccli Numbcr:[2.- (o20 O& Email: ft’ICU COVY) Number of Participants / Teams using fields: ZD 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:AE BE CD Months: Days: Times: LI Ian Deutch Memorial Park: 4n Times: OO — 3-ô-r p ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: PVYS Date: 05/10/2022 ContactName: LLOYD PEUGH Cell Number: [PHONE REDACTED] Email: [EMAIL REDACTED] Number of Participants / Teams using fields:7 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. Petrack Park: Fields: A B C Months: Days: Times: Ian Deutch Memorial Park: Fields: I 2 4 Months: Days: Times: Simkins Park: Field: Infield [J Outfield JULY, AUGUST, SEPTEMBER, OCTOBER, NOVEMBER Months: MONDAY THRU FRIDAY 5PM TO 8PM Days: Times: ADDITIONAL REQUESTS: LIGHTS AS NEEDED Town of Pahrump 2100 E. Watt Williams Dr., Suite 14100 [PHONE REDACTED] Pahrump, NV 89048 ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Shannon Kaiwi Contact Name. [PHONE REDACTED] Cell Number: Email: [EMAIL REDACTED] Number of Pailicipants/ Teams using fields:8° 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 Pohrump as the Additionally Insured. Petrack Park: Fields:A[7] B[iI CLI August-November Monday - Saturday mon-fri 4-8pm Times: saturday 8am- 6pn LI Ian Deutch Memorial Park: Fields: I 2 3 LI Month s: 4n Days: LI Simkins Park: Field: Infield LI Months: Days: Times: Outfield LI Ti tiles: ADDITIONAL REQUESTS: We would need field lights on during the evenings. Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] Organization Pahrump Youth Softball Association Date: 6/6/2022 Months: Days: