ATHLETIC FACILITY REQUEST
FOR FALL OUTDOOR ATHLETIC FACILITY RENTALS
Organizaon Informaon:
Organization Name:
Organization Contact:
Preferred Phone:
Email:
Address:
City, State & Zip:
Request Informaon:
Number of Facilities Requested:
Location Requested (Specify):
Date(s) & Time(s) Requested:
Does your organization serve
Bloomington residents?
If yes, percentage of participants?:
Is this for Youth or Adult? (please specify ages):
Is this for Games, Practice, or both?:
Yes No
Community Services Department
P
arks and Recreaon Division
1800 W. Old Shakopee Road
Bloomington, MN 55431-3027
PH 952-563-8877
FAX 952-563-8715
Email parksrec@BloomingtonMN.gov
Web www.BloomingtonMN.gov
Submit Completed Form to the email or mailing address below:
For Oce Use Only
Date Received:
Priority Level:
Request Approved: Declined:
Athletic organizations other than City sponsored programs, Recognized Bloomington Youth Athletic
Organizations, or Bloomington schools must complete a facility request form. No athletic facility request
will be considered without the submittal of a completed request form providing all required information.
Bloomington’s Parks and Recreaon Division will begin accepng Outdoor Athlec Facility Rental
Requests on July 1. Requests received by August 1 will be reviewed in accordance with the scheduling
priority stated in the City’s Athlec Field Use Policy. Upon review, organizaons will receive nocaon
regarding the status of the request by August 15. Requests received aer August 1 will be reviewed in
the order in which they are received.
The dates for requested fall usage are the last week of August — October 22. Requests will not be
accepted prior to July 1. Please allow for a two week processing me.
Upon request approval, the organizaon’s contact person will receive a permit that must be reviewed,
signed, and returned with payment. Requests unable to be accommodated will be noed via email.
