PLAYGROUND & RECREATION COMMISSION
Requesting Organization:
Contact Name:
Contact Phone Number:
Contact Email Address:
Requested Field (one field per form, please):
Dates/Days Requested:
Times Requested:
Non-Profit Organization (please indicate Yes or No):
For
organizations that used Town field space during their previous season, please
provide the following information:
Total Number of Participants:
Number of Town Residents: Number of non-Residents:
Additional details, if any:
Approved
by the following PRC commissioners:
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Prior to field
use, PRC must receive a signed Participation Consent Form (found at www.northbridgemass.org/parkrec ) for each participant
along with the respective field usage fee, as noted below.
Northbridge
Residents: $10 per person
Non-
Residents: $15 per person