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Clarksville Parks and Recreation

parksrec@cityofclarksville.com

102 Public Sq Clarksville, TN 37040

931.645.7476

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ATHLETIC FACILITY RENTAL REQUEST FORM

APPLICANT INFORMATION

Date Picker

Date Picker

Full Name

Full Address

Requested For:

Activity

Start Date & Time:

Date Picker

End Date & Time

Date Picker

Day(s) of the Week Requested

Soccer Fields:

TOURNAMENT INFORMATION

General Liability Waiver

I the undersigned, on behalf of myself (and/or my minor children), hereby agree to indemnify and hold harmless the Clarksville Parks and Recreation  Department, City of Clarksville, its appointed or elected officials, employees, agents, and sponsors or representatives from any and all actions, causes of action, or claims of any kind or nature which I or my representatives or assigns may have as a result of participation in any Clarksville Parks and Recreation Department sponsored activities or programs.  I (We) participate in the above activity or program with full knowledge of the physical risks involved. 

I understand that the Clarksville Parks and Recreation  Department recommends and advises that I (we) consult a physician prior to participation if I (we) feel that I (we) have any physical restrictions.   

I (We) further understand that I (we) may be photographed or videotaped during participation in this activity, and I (we) hereby release and consent to the reproduction of such photos or videos for advertising and publicity purposes of the Clarksville Parks and Recreation Department and/or the City of Clarksville, it successors and or assigns.

 

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