Fillable FIELD AGREEMENT APPLICATION (City of Grove City)

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FIELD AGREEMENT APPLICATION (City of Grove City)

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U.S.A. forms for City of Grove City

BROWSE CITY OF GROVE CITY (OH) FORMS

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The City of Grove City Parks & Recreation Department
614-277-3050 • Weather Hotline: 614-277-3060 • Kingston Center, 3226 Kingston Ave., Grove City, OH 43123
GroveCityOhio.gov • facebook.com/GroveCityOhio • twitter.com/GroveCityOhio • instagram.com/GroveCityOhio
FIELD AGREEMENT APPLICATION
To be completed by travel baseball organizers interested in reserving diamonds at Windsor and Evans parks
PERSONAL INFORMATION
LAST NAME FIRST NAME MI
HOME ADDRESS CITY STATE ZIP
PREVIOUS ADDRESS IF AT ABOVE LESS THAN 5 YEARS CITY STATE ZIP
DAYTIME PHONE CELL/OTHER PHONE EMAIL
DATE OF BIRTH SOCIAL SECURITY NUMBER GENDER
Male Female
PARK COACHING LEVEL
Windsor Evans Head Coach Assistant Coach
GENERAL QUESTIONS
Do you currently or have previously experienced a problem with drugs or alcohol? No Yes (please explain):
What experience do you have working with children?
List any formal training you have that relates to coaching children:
I agree to abide by the written rules and the spirit of the City of Grove City Parks and Recreation Department that all
programs are for the sole benet of the children participating.
I agree to complete any necessary training including state-mandated concussion training (oered free online).
I agree to abide by the decisions made by the Sports Supervisor or other designee not specically covered by the
information furnished in the packet.
The above information is true and complete to the best of my knowledge. I understand that the City of Grove City may
investigate the information I have furnished and I realize that any misrepresentation or false information in the application
may lead to termination of permission to use City facilities. I consent that the City of Grove City may conduct a background
check.
APPLICANT SIGNATURE DATE
PRESENT EMPLOYER DATE EMPLOYMENT BEGAN
ADDRESS CITY STATE ZIP
POSITION SUPERVISOR’S NAME
The City of Grove City Parks & Recreation Department
614-277-3050 • Weather Hotline: 614-277-3060 • Kingston Center, 3226 Kingston Ave., Grove City, OH 43123
GroveCityOhio.gov • facebook.com/GroveCityOhio • twitter.com/GroveCityOhio • instagram.com/GroveCityOhio
RENTAL AGREEMENT CHECKLIST & SCHEDULING POLICIES
All teams not aliated with the City of Grove City requesting to rent a Grove City eld for multiple reservations must provide
proof of the below requirements to participate in the scheduling lottery in early January. Priority registration requirements are
documented annually.
Teams not meeting the sanctioning requirements may submit eld reservation requests in writing beginning the Tuesday after
the third Monday in January. Reservations are determined on a rst-come, rst-served basis at the discretion of the Recreation
Superintendent or his/her designee.
As a coach/organizer/team representative, I agree to provide the following information before my reservation will be approved.
Primary organization representative contact information.
Verication of non-prot status including tax identication number.
A roster identifying all team members and coaches including addresses.
Documentation of a current background check on all coaches aliated with the team.
Documentation of at least one coach on each team who is certied by the National Alliance for Youth Sports or an
equivalent organization approved by the Grove City Parks and Recreation Department (GCPRD).
Documentation of insurance in the amount of $1,000,000 with the City of Grove City listed as an additional insured.
All GCPRD programs (events, games, matches, camps, tournaments and instructional programs) have priority and are scheduled
before any other eld use. Grove City Parks and Recreation reserves the right to alter the schedules as need arises, but in all cases
will notify the organization representatives.
All laws and regulations related to use of City-owned parks and facilities is applicable to all coaches, participants and guests
per Chapter 903 of the Grove City Codied Ordinances. This includes no drugs or alcoholic beverages or any persons under the
inuence thereof.
Fields may be closed as conditions dictate by the Park Maintenance Supervisor or his/her designee. Refunds/credits are issued
in these circumstances if alternative eld arrangements cannot be made. All elds must be vacated if lightning, thunder or other
element is present that threatens the safety of participants.
Organizations are prohibited from using any type of motorized vehicle to conduct eld maintenance (e.g., dragging, lining).
Anyone who damages a eld or who plays on a closed eld is subject to a $200 ne, cost of damages and a suspension of
eligibility to use GCPRD facilities. All nes and charges must be paid before privileges are reinstated.
Field reservations canceled through GCPRD in writing a minimum of 10 business days before the reservation date will receive
a full credit. Reservations canceled ve to nine days before the reservation dates will receive 50 percent credit. If eld(s) are not
used for reasons other than closure by a representative of the City of Grove City or if a cancellation is made within four business
days of the reservation, the organization is responsible for full rental fee. “In writing” includes messages delivered by email
(parks@GroveCityOhio.gov), mail (4035 Broadway, Grove City, OH 43123) or a hard copy delivered in person (3226 Kingston
Ave.). Include organization name; contact name and phone number; date, time and location of reserved eld(s); and request for
rescheduling, if appropriate.
APPLICANT SIGNATURE DATE
FIELD
INFIELD
SURFACE
LIGHTS
BASE DISTANCE RUBBER DISTANCE FEES
50 60 65 70 80 90 35 40 46 50 54 60 RESIDENT NON-RESIDENT LIGHTS
WINDSOR
1 Grass
• • • • • •
$30 $40 $20
2 Turf
• • • •
$55 $75 -
3 Turf
• • • • •
$55 $75 $20
4 Turf
• • • • •
$55 $75 $20
5 Turf
• • • •
$55 $75 -
6 Grass
• • • • • •
$30 $40 $20
7 Dirt
• • •
$30 $40 -
8 Dirt
• • •
$30 $40 -
10 Grass
• • • • • • •
$30 $40 $20
11 Dirt
• • • • • • • $30 $40 $20
EVANS
Dirt
• • • • •
$30 $40
FRYER
EAST
1 Dirt
• • • •
$30 $40 -
2 Dirt
• • • •
$30 $40 -
3 Dirt
• • • •
$30 $40 -
4 Dirt
• • • • $30 $40 -
WEST
1 Dirt
• • • •
$30 $40 -
2 Dirt
• • • •
$30 $40 -
3 Dirt
• • • •
$30 $40 -
4 Dirt
• • • • $30 $40 -
Fryer Park, 3899 Orders Road
Discovery Dr.
⬆
ORDERS ROAD
1
2
3
4
4
3
2
1
P
ñ
£
Homecomer Dr.
Evans Park, 2831 Southwest Blvd.
Southwest Blvd.
P
ñ
EVANS
Windsor Park, 4408 Broadway
6
5
2
1
4
3
10
11
8 7
DREAM
FIELD
Babbert Way
⬅
US62/BROADWAY
ñ
£
ñ
ñ
ñ
ñ
£
BALL FIELD AMENITIES, LOCATIONS AND FEES
WEST WEST
PODPOD
EAST EAST
PODPOD
1. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
2. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
3. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
4. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
5. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
6. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
7. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
8. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
9. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
10. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
11. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
12. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
13. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
14. NAME BIRTHDATE GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
HEAD COACH NAME GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
ASSISTANT COACH NAME GROVE CITY RESIDENT?
Yes No
ADDRESS CITY STATE ZIP
To my knowledge, the information above is correct.
COACHING APPLICANT SIGNATURE DATE
TRAVEL BASEBALL ROSTER
The City of Grove City Parks & Recreation Department
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FIELD AGREEMENT APPLICATION (City of Grove City)

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Completed 3 August 2020

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