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Application Information
Upon approval, a facility permit receipt with a reservation number will be issued by PRCA. Please do not promote until you have received confirmation. This form is not for Picnic Permit requests or fields not within the control of the City of Farmington PRCA Department. A separate permit process is required for those reservations.
Contact Information
Name of Organization/School/Team*
First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Fax Number
Email Address*
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Activity Information
Activity
Note: For each Type of Activity requires a separate application.
Facility or Field to be Used*
Proposed Activity*
Type of Activity*
Beginning Date*
Beginning Date
Ending Date*
Ending Date
Check Days of the Week & Specify Times
Monday
1. Monday
Monday
Monday Start Time
—
Monday End Time
Tuesday
1. Tuesday
Tuesday
Tuesday Start Time
—
Tuesday End Time
Wednesday
1. Wednesday
Wednesday
Wednesday Start Time
—
Wednesday End Time
Thursday
1. Thursday
Thursday
Thursday Start Time
—
Thursday End Time
Friday
1. Friday
Friday
Friday Start Time
—
Friday End Time
Saturday
1. Saturday
Saturday
Saturday Start Time
—
Saturday End Time
Sunday
1. Sunday
Sunday
Sunday Start Time
—
Sunday End Time
Upload Schedule
Note:
Team schedules must be submitted two (2) weeks prior to start of season, if not uploaded here.
Special Requests
1. Lights
2. Concessions
Comments
Insurance Information
Insurance Agent
Insurance Agent's Phone Number
Upload Certificate of Insurance
Applicant Information
Applicant
Complete only if different from Contact Information
First Name
Last Name
Title
Address1
Address2
City
State
Zip
Phone Number
Email Address
Electronic Signature*
I agree that while using the City of Farmington fields, courts, and facilities for the purpose described in this request, we will not discriminate on the basis of disability. By checking I agree, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.
1. I Agree

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