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Welcome
Please complete our HYAL Field Permit Request Form.
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1
Requestor Name
*
This field is required.
First Name
Last Name
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2
Organization Name
*
This field is required.
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3
Requestor Contact Information
*
This field is required.
Please provide information belwo
Please provide all information requested
Email Address
Row 0, Column 0
Cell Phone
Row 1, Column 0
Best Number to Contact you
Row 2, Column 0
Email Address
Cell Phone
Best Number to Contact you
Please provide all information requested
Row 0, Column 0
Please provide all information requested
Row 1, Column 0
Please provide all information requested
Row 2, Column 0
1
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4
Organization Structure
*
This field is required.
Please answer all questions. A copy of your organization documents may be required.
Yes
No
In Process
Not Applicable
Are you a Hazlet based 501c3?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Are you a 501c3 organization?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Are you a Hazlet based 501c3?
Are you a 501c3 organization?
Yes
Row 0, Column 0
No
Row 0, Column 1
In Process
Row 0, Column 2
Not Applicable
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
In Process
Row 1, Column 2
Not Applicable
Row 1, Column 3
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5
Insurance
*
This field is required.
A copy of your Insurance policy will be required
Yes
No
Not Applicable
In Process
Do you have Liability Insurance?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Do you have property insurance?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Do you have Directors & Officers Insurance?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Do you have Liability Insurance?
Do you have property insurance?
Do you have Directors & Officers Insurance?
Yes
Row 0, Column 0
No
Row 0, Column 1
Not Applicable
Row 0, Column 2
In Process
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Not Applicable
Row 1, Column 2
In Process
Row 1, Column 3
Yes
Row 2, Column 0
No
Row 2, Column 1
Not Applicable
Row 2, Column 2
In Process
Row 2, Column 3
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6
Program
*
This field is required.
Please answer all questions
Please answer questions
Type of Sport?
Row 0, Column 0
# of athletes participating?
Row 1, Column 0
Ages of Athletes?
Row 2, Column 0
Type of Sport?
# of athletes participating?
Ages of Athletes?
Please answer questions
Row 0, Column 0
Please answer questions
Row 1, Column 0
Please answer questions
Row 2, Column 0
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7
Field
*
This field is required.
Please indicate all that apply
East Field
West Field
Top 60
Top 90
T-Ball
Football Field (upper)
Batting Cages
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8
Dates & Times
*
This field is required.
What dates and times are you seeking to use the fields. Please be specific on the dates
Please list dates and times (use a comma to separate dates)
Date(s)
Row 0, Column 0
Time(s)
Row 1, Column 0
Date(s)
Time(s)
Please list dates and times (use a comma to separate dates)
Row 0, Column 0
Please list dates and times (use a comma to separate dates)
Row 1, Column 0
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9
Please upload Insurance Documents
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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10
Please upload Organization Documents
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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of
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11
Signature of Authorized Personnel
*
This field is required.
Clear
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