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Applicant Information

Applicant Name
Address
City
State
Zip Code
Phone
Email
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Organization Information

Organization Name
Address
City
State
Zip Code
Phone
Email
Number of Participants*
% of Cedar Park Residents
Liability Insurance
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Event Details

Start Date
Start Date
Start Time
Start Time
End Date
End Date
End Time
End Time
Number of Participants
Have you rented from Cedar Park before?
1. Yes
2. No
If so, how much?
Season
1. Spring (Mar, Apr, May)
2. Summer (Jun, Jul, Aug)
3. Fall (Sep, Oct, Nov)
4. Winter (Dec, Jan, Feb)
Type of Event
1. Camp
2. League
3. Tournament
1. Practice
2. Group Instruction
3. Private Instruction
1. Fun / Recreational Play
2. Other
If event is to occur on a weekly basis, which days?
1. Mon
2. Tue
3. Wed
4. Thu
1. Fri
2. Sat
3. Sun
Will participants be charged?
1. No
2. Yes
If so, how much?
What does the fee include?
What type of field are you requesting?
1. Football
2. Softball Field #1
3. Softball Field #2
4. Soccer Field #1
5. Soccer Field #2
6. Soccer Field #3
Will you need any of the following?
1. Soccer Goals
2. Field Goal Posts
3. Painted Fields
Please explain any other type of equipment that will be used
Please list any variances required from Park Rules & Regulations that have not been addressed on this application
Will the event interfere with or detract from the general public's enjoyment?
1. Yes
2. No
Will the event interfere with or detract from the promotion of public health, welfare, safety and recreation?
1. Yes
2. No
Is violence, crime or disorderly conduct anticipated as part of the event?
1. Yes
2. No
Will the event entail extraordinary or burdensome expense or police operation by the City?
1. Yes
2. No
Is there a conflict with another scheduled activity?
1. Yes
2. No
If you replied “Yes” to any of the above questions, please explain,
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Confirmation

Signature
Date
Date

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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