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Contact Name: Amy Carison [PHONE REDACTED] Cell Number: Monday thru Saturday 5:00p.m. - 10:00p.m. Ian Deutch Memorial Park: Fields: 1 2 3 4Li Months: Days: Simkins Park: Times: Field: Infield LI Outfield LI Months: Days: ADDITIONAL REQUESTS: Times: Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 [PHONE REDACTED] TOWN OF PAH RUMP FIELD ALLOCATION FORM Organization: Pahrump Jr. Trojans Soccer Club Date: 7/8/202 1 Email: jrtrojanssoccerclubgmail.com 191 players as of 7/7/2021(18 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 understand that the Adult Softball League uses Field B during V Petrack Park: the week some of the same mouths we ale requesting and we will coordinate with tlieiii to ensure we are off Field B on the nights Fields: A LI B C that they use it in time for their gaines. July - December 2021 Months: Days: Times: ---PAGE BREAK--- TOWN OF PAH RUMP FIELD ALLOCATION FORM Organization: (j-cR 1O 5cbcz.\k. Date: Contact Name: o Cell Number: 7 7 S 3 -3 \5 Email: w. Number of Participants / Teams using fields: ‘I O S’ 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. D Petrack Park: Fields:A I B C Months: — Days: rv Times: 5 D Ian Deutch Memorial Park: Fields: 1 2 3 4 Months: Days: D Simkins Park: Field: Infield Months: Days: ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite [EMAIL REDACTED] www.PahrumpNV.org #100 Pahrump, NV 89048 [PHONE REDACTED] - D- J c- Times: Outfield Times: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Ci._ \ Organization: C\I Date: G Contact Name: . Th - c \ \ c — CeilNumber fl ‘E Email: L \ - C C Number ofParticipants / Teams using fields: ( The following is required and MUST be turned into the Town of Pabrump to maintain your reservation. 1. The Pork Fee is $25 PER month, PERfield. 2. A Security Deposit of$300. 3 LI Petrack Park: Fields: A B J — Months: P’’-ic S cc JC* c Days: Times: . C> O->ç-o \ C “ c - ca & LI Ian Deutch Memorial Paii: * Fields: 1 2 3 4 Months: Days: Times: LI Simkins Park: Field: Outfield___________ Months:___ Days: - Times: ADDiTIONAL REQUESTS: è— Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 ( - c— \ ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: Pahrump Valley Youth Sports Date: 06/11/2021 Contact Name: Lloyd Peugh Cell Number: [PHONE REDACTED] Email: pahrump youth 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. LI Petrack Park: Fields: A fl B El C LI Months: Days: Times: El Ian I)eutch Memorial Park: Fields: 1 L 2 El LI Months: Days: Times: El Simkins Park: Field: Infield El Outfield August,September,October, November Months: Monday thru Friday Days: Times: ADDITIONAL Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 4fl 4 PM to 9 PM ---PAGE BREAK--- TOWN OF PAH RUMP FIELD ALLOCATION FORM Organization: AMERICAN YOUTH SOCCER ORG Date:O6”O3”2O2l Contact Name: ROSALEE CLASEN Cell Number: [PHONE REDACTED] Email: [EMAIL REDACTED] Number of Participants / Teams using fields:200 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, PERfield. 2. A Security Deposit of$300. 3. Liability Insurance Naming Town of Pabrump as the Additionally Insured. E Petrack Park: Fields:A[J BE cLI Months: Days: Times: Ian Deutch Memorial Park: Fields: 1 L 2 LI AUGUST thru FEBRUARY Months: MON-FRIDAY and SAT Days: Times: LI Simkins Park: Field: Infield LI Outfield Town of Pahrump 2100 . Walt Williams Dr., Suite #100 [PHONE REDACTED] Pah rump, NV 89048 4[1 5-9 M-F 8-12:00 SAT Months: Days: Times: ADDITIONAL REQUESTS: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: f—L L.ec7’ Date: Contact Name: Cell Number: Email: 15L v 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. B C I Outfield Times: 4 Times: VIi—. I4 Times: Town of Pahrump www.PahrumpNV.org 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 TownOffice @ pa h rump nv.org [PHONE REDACTED] LI Petrack Park: Fields: A Months: Days: ian Deatch Memorial Park: Fields:1 2 3 Months: )44’ Days: S LI Simkins Park: Field: Infield Months: Days: ADDITIONAL REQUESTS: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: Red Ridge Schutzhund Club Date: 6/10/2021 ContactName: Jeanine Tucker or David Rivisto [PHONE REDACTED] for Jeanine [PHONE REDACTED] for David Cell Number: Email: [EMAIL REDACTED] Number of Participants / Teams using fields:30 palilClpafltS 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. I?i Petrack Park: Fields:AL_______ BE cEj June-December 2021 Months: Fridays and Saturdays Fridays 6PM-2AM; Saturdays 6AM-Noon Days: Times: LI Ian Deutch Memorial Park: Fields: 1 _LI 2 LI LI Months: Days: Times: Simkins Park: Field: Infield [1 Outfield [1 As always, if Petrack Park is not available, we are happy to have Simkins Park Months: Days: Times: ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048