SOUTH PAVILION LOCKER WAITNG LIST FORM
The South Pavilion allows residents and non-residents.
PLEASE PRINT
Are you currently leasing a facility at the Narragansett Town Beach? ____YES ____No
If yes, what facility do you lease:____________________________________________
Name:
Address:
Date of Birth______________________
Narragansett Address (if applicable):
Best Phone#: ____________________________
Email:_________________________________________________________________________________
Parks and Recreation will call you when a locker 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 NOT
a resident and/or taxpayer of Narragansett, Rhode Island
___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 form in office____________________________
