M-NCPPC Local Ballfield Permit Request Form - PRACTICE  

Complete the following form then press 'Continue' for your finalized application to print, sign, and mail or hand deliver to the M-NCPPC Permit Office along with payment.

[IMPORTANT: Only ONE contact imay be listed on the pratcice applications. This person, who will be the permitholder, MUST be either the coach or team manager. Also, the name on the check or credit card used for payment MUST match the permitholders' name. Otherwise, the application will be returned unprocessed.]

Note: Practices can not be booked for adult baseball and softball teams
General Information:
Team Name:
League:
Team
Representative:
Representative's Role:
Coach  
Address 1:  
Team Manager
Address 2:  
City:   State:   Zip:
Work Phone:
Home Phone:
Payment Information:
A $48, non-refundable permit fee per field is required with application. The check or credit card name must match that of the Team Representative.
Please indicate the type of payment you will attach:
Check               MasterCard              Visa            
 
Check Users - please provide your Driver's License Number:
Credit Card Users - please provide the following information:
Cardholder's Name:
  
Card Number:
 Exp. Date: /
Practice Information:
Age Group:
Type of Sport:     If 'Other' selected, indicate sport:
Start Date:   End Date:   
Field Choices:
IMPRTANT! Amount of time each team is alloted:
Baseball/Softball 1 1/2 hours, 1 day per week ONLY
Soccer/Football/Rugby 1 hour, 1 day per week ONLY
 
List your top five choices in any combination of park, field, day or time.
Park
Field
Day
Time
1.
2.
3.
4.
5.
Alternate Field Choices:
If Parks is unable to fulfill one of your top 5 choices would you be interested in other field choices?    Yes No
(If you select 'No', your application will be returned if none of the first five choices is available.)
 
If yes, indicate a geographic area in which you are willing to accept other fields:
 
List five alternate choices in this area in any combination of park, field, day or time.
Park
Field
Day
Time
1.
2.
3.
4.
5.
 
Will you accept ANY field in this geographic area? Yes No
 
Will you accept ANY field in an alternative geographic area? Yes No
State alternative geographic area:
 
Will you accept ANY field in Montgomery County? Yes No