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2010 Recreational Fall Soccer Practice Field Request Form


Deadline for form submission: July 29
Fields open for practice: August 16

IMPORTANT - PLEASE READ!

To be considered for a practice field, each team MUST submit this request form and their team roster. Teams with the highest number of Anderson residents will be given first consideration of their desired location and times on Anderson Twp. Park District (ATPD) practice fields. If 2 requests come in on the same day with the same percentage of Anderson residents, the team that turned in their request earlier in the day will be given priority.

Each roster will be audited for the percentage of residents and fields will be released after the residency percentage has been calculated. Fields will be distributed after the deadline. To request a practice field, you must properly complete the form. Incomplete forms will be handled after all properly completed forms have been processed. Phone requests will not be taken. Clear Creek Park fields will be available for practice by renting the entire field, with a limit of one team per field. Lines and goals are not guaranteed until the first scheduled league game.

Return completed Field Request Form by one of the following means:
Mail or drop off: Anderson Twp. Park District, 8249 Clough Pike, Cincinnati, Ohio 45244
Fax: 513-388-2494 (On fax cover sheet, write; Attn: Fields)

Your permit will be e-mailed or mailed to you. Your payment, in full, by check, credit card or cash is due no later than 2 weeks after your permit date. Neither credits, nor refunds will be issued for a rain out, however, an additional day will be offered, if available.

Remember to check the ATPD’s Field Status Hotline, 513-357-6629 x2, before playing/practicing on a field. Users who play on a closed field are subject to a $150.00 fine and possible suspension for 1 year.

Help preserve the fields… avoid practicing in the goal mouth areas!


Fall Soccer Practice Field Request From
Complete The Following In Full And Return To The ATPD With Roster By The Appropriate Deadline.
One Request Per Form.

Organization Name:
Starting (weekly) practice Date:
Ending (weekly) practice Date:
Requesting Name:
Requesting Person's Address:
City:
State:
Zip:
Home Phone Number:
Fax Number:
Work Phone Number: Email Address:


INDICATE YOUR DIVISION:
FIELD SIZES:

Shooter/Passer
Striker/Kicker/Minors (full)

Whole field rental at Clear Creek Park is available for practice (1 team per field) by permit only. No half field rentals available at Clear Creek Park. Dribbler/Trappers and Shooter/Passers receive whole fields due to their size. D/T request are 1 hr. time slots and S/P request 1.5 hour time slots.

Would you like to practice with another team?  Yes   No
Coach's Name 


1st Choice

1 ST CHOICE FOR LOCATION:
Beech Acres
Dribbler/Trapper

Clear Creek
Comp 6v6, Flyers/Wings,
Comp 8v8
Full

Juilfs
Shooter/Passer
Comp 6v6, Flyers/Wings
Kellogg
Dribbler/Trapper
Recreational Teams only 1/2 of Large Practice Area
Riverside
Shooter/Passer
Veterans
Comp 6v6, Flyers/Wings
Shooter/Passer
1 ST CHOICE FOR DAY OF WEEK:
Monday Tuesday Wednesday Thursday Friday
1 ST CHOICE FOR EVENING TIME:
4:00-5:00pm (D/T) 5:00-6:00pm (D/T) 6:00-7:00pm (D/T) 7:00-8:00pm (D/T)
4:00-5:30pm All other field sizes 5:30-7:00pm All other field sizes 7:00-8:30pm all other field sizes  

2nd Choice (if 1 st choice cannot be fulfilled)
2 ND CHOICE FOR LOCATION:
Beech Acres
Dribbler/Trapper

Clear Creek
Comp 6v6, Flyers/Wings,
Comp 8v8
Full

Juilfs
Shooter/Passer
Comp 6v6, Flyers/Wings
Kellogg
Dribbler/Trapper
Recreational Teams only 1/2 of Large Practice Area
Riverside
Shooter/Passer
Veterans
Comp 6v6, Flyers/Wings
Shooter/Passer
2 ND CHOICE FOR DAY OF WEEK:
Monday Tuesday Wednesday Thursday Friday
2 ND CHOICE FOR EVENING TIME:
4:00-5:00pm (D/T) 5:00-6:00pm (D/T) 6:00-7:00pm (D/T) 7:00-8:00pm (D/T)
4:00-5:30pm All other field sizes 5:30-7:00pm All other field sizes 7:00-8:30pm All other field sizes  

Player Roster Information:
Please enter up to 22 players in the following format:
Players Name, Street Number, Street Name, City, State, Zip, Phone
ie: John Doe, 123, Main Street, Cincinnati, OH, 45244, 513-555-5555
(separate name, street number, street name, city, etc. with commas)

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