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Cabarrus County Active Living & Parks Dept. Softball Complex Tournament Reservation Form This form & tournament payment must be submitted to Park Management by 5:00 pm on Wednesday prior to each tournament. Name of Organization: Tournament Director: Cell Phone: Email Address: Alternate Contact: Cell Phone: Email Address: Tournament Name: Tournament Type (Inv., reg., state, national, World) Tournament Date: On Site Director: Phone: Time of First Scheduled Game: Friday: Saturday: Sunday: Time of Last Scheduled Game: Friday: Saturday: Sunday: Game Schedule Attached: Yes No # of Team in Tournament: Age Groups: # of Fields Requested: Circle all that apply: F1 F2 F3 F4 Base Distances: (circle) 60 65 other (Specify) Pitching Distances: (circle) 35 40 43 other (Specify) I hereby certify that I am the authorized and responsible representative for the tournament organization, that the above statements are true to the best of my knowledge, and that I have received and read a copy of the rules and regulations governing the use of the facilities; and that our group will comply with the regulations, policies, and fee schedule governing the use of the facility. The undersigned applicant hereby agrees to indemnify and save harmless the Cabarrus County Active Living and Parks Department from and against any and all loss, costs, damages, expense and liability causes by any accident or other occurrence causing bodily injury or property damage or damage for libel or slander to any person or property arising from or out of the use or occupancy of the premises by the undersigned applicant, its agents, employees, or invitees. The person to whom this facility agreement is issued to will be the contact person and /or site director for this tournament and must be on site during the duration of this event. The post tournament checklist must be completed by tournament director and park ranger and /or park manager prior to leaving at the end of each day. Failure to leave facility clean and free of trash from grounds will result in all or a portion of the security deposit being forfeited. Signed Date Tournament Director Signed Date Park Staff Tournament Rental: Additional Day: Gate Fee: Field Supplies: Open Early/ Close Late: Open Open Early/ Close Late: Open No. of Hours for Add'I Staff: Total Amount Due: Receipt # Amount Paid For office use only: $500.00 $100.00 $150.00 $75.00 Close $100.00 (1 day) Close $200.00 (2 days) @25.00 (Check One) Check Cash Credit Card Date Paid Attachment number 3 \n F -1 Page 76