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Field Usage Request Form

Field Usage Request Form

You may submit your field request by submitting the online form below or by completing and emailing us the downloadable form here.

Field Use Application

Applicant Name *

Organization Name *

What Season are You Applying for *

Organization Address*

EIN Number (if applicable)

On-site Contact Number *

Name of Contact *

Email Address*

Field Requested (please check all that apply)

Townly Field NorthTownley Field SouthTownley Baseball DiamondPee-Wee Park Baseball DiamondCentennial ParkMaggi ParkMahoney Park West

Dates and Times Requested (Input all dates and timeframes requested, i.e. Monday, June 3, 2019 5:30-7:30pm)

Type of Rental (please select one)

PracticeGame

Do you require field lining? (fee applies)

YesNo

If Yes, please indicate which dates you need field lining for (will be completed by Park District staff the day prior except for Sundays, in which the field will be lined on Friday)

Special Setup Requests

Total Amount of Hours Requested

Type of Activity

Number of Participants

Participant Age Range

Emergency Contact Number

Emergency Contact Name

Applicant has reviewed the above information for accuracy and agrees to adhere to all regulations as listed in the Field Usage Policy, which is available on the Kenilworth Park District Website. Applicant agrees to the Field Usage Fee Chart. Applicant agrees to submit a certificate of liability insurance to the Kenilworth Park District prior to the season in which they are applying for.

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Contact

410 Kenilworth Avenue
Kenilworth, IL 60043
Phone: 847-251-1691
Fax: 847-251-3908
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The Kenilworth Park District preserves and enhances our parks and facilities
and provides recreational opportunities, programming, and
events that cultivate a stronger community.

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