I understand that if the balance due changes, based on the requests above, it is my responsibility to make payment as outlined by the Princess
Anne Athletic Complex office.
City of Virginia Beach
Department of Parks and Recreation
Princess Anne Athletic Complex
Phone (757) 385-0478/Fax (757) 430-7402
4001 Dam Neck Road
Virginia Beach Virginia 23456
Renter Name: Phone:
I have read and understand the current policies and
procedures located at
Current rental contract number: Date change request submitted:
ure of Applicant ________________________________________________________ Date _________________________
Section below is for staff use only
Staff Signature Date
I hereby agree to indemnify and save harmless the City of Virginia Beach, a Municipal corporation of the Commonwealth of Virginia, from and
against all loss, damage, claim, demand, liability, or expense by reason of any damage or injury to property or person which may be claimed to have
arisen as a result of or in connection with the occupancy or use of said premises. I have read and understand the Policy/Procedure information
which accompanies this form.
This form is to be used to request changes to a current rental contract.
Request form must be completed and signed by the person on the original rental contract.
Changes/additions for approved rentals will not be accepted if within 5 business days of the rental date.
All associated fees must be paid in full within 24 hours of notification of the approved changes unless otherwise stated.
Field Rental Change Application