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TOWN OF PAHRUMP FIELD ALLOCATION FORM Town of Pahrump 400 N HWY 160 [PHONE REDACTED] Pahrump, NV 89060 Organization: Contact Name: Cell Number: Email: Previous Season Statistics: Total # of participants using Town of Pahrump Fields: Total # of teams using Town of Pahrump Fields: Projected Current Season Statistics: Total # of participants using Town of Pahrump Fields: Total # of teams using Town of Pahrump Fields: REGISTRATION DATE(S) : **required information** 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 (provided with submission of this form) 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. (provided with submission of this form) Petrack Park: Fields: A B C Months: Days: Times: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Town of Pahrump 400 N HWY 160 [PHONE REDACTED] Pahrump, NV 89060 Ian Deutch Memorial Park: Fields: 1 2 3 4 Months: MONDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM TUESDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM WEDNESDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM THURSDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM FRIDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM SATURDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM SUNDAY 5PM-6PM 6:05PM-7:05PM 7:10PM-8:10PM 8:15PM-9:15PM Simkins Park: Field: Infield Outfield Months: Days: Times: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Town of Pahrump 400 N HWY 160 [PHONE REDACTED] Pahrump, NV 89060 Special Dates: (Opening Day, Closing Day, Tournaments, Holiday Non-Playing Days, etc.) Special Notes: **REQUIRED FOR ALL SPORT ORGANIZATIONS** **GAME SCHEDULES MUST BE PROVIDED TO TOWN OF PAHRUMP STAFF WHEN CONFIRMED** **ROSTERS WILL BE REQUESTED FROM THE TOWN OF PAHRUMP. PROOF OF ROSTERS SENT TO SPORTS ORGANIZATIONS INSURANCE COMPANIES MAY ALSO BE REQUESTED** All organizations understand that if the fees are not paid to the Town of Pahrump. The organizations can have their schedules pulled and be removed from the fields. And subject to future field allocation forms/requests being denied. PLEASE INITIAL