NORTH PAVILION CHANGING ROOM WAITNG LIST FORM
The North Pavilion is for Narragansett residents/taxpayers only
PLEASE PRINT
Are you currently leasing a facility at the Narragansett Town Beach? ____ YES ____ No
If yes, what facility do you lease:____________________________________________
Name:
Mailing Address:
Narragansett Address:
Date of Birth:___________________________________
Best Phone Number: ____________________________
Email:____________________________________________________________________________
Parks and Recreation will call you when a changing unit becomes available. It is your responsibility
to update the Parks and Recreation if your phone number changes. Once you receive a call from this
department and if you decided not to rent the unit or if we have no response/call back your name
will be removed from the list and you will have to reapply.
__I hereby certify that I AM
entitled to status as a resident and/or taxpayer of Narragansett Rhode
Island, thereby qualifying me for the appropriate resident waiting list.
Please sign form and mail to Parks and Recreation 170 Clarke Road Narragansett, RI 02882
Signature___________________________________________ Date______________________________________
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FOR OFFICE USE ONLY
Date received in office __________________________
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