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Soccer Field Reservation Form
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City of Ferndale
PO Box 936 – 2095 Main Street
Ferndale, WA 98248
Email form to Toni Segerman: Tonisegerman@cityofferndale.org or call 360-685-2369

Days of the Week
Fields Reserved
Division Type

FEE: Must accompany this form (or be paid online) to confirm/hold reservations:

League Use (1-2 Hours)

INSURANCE REQUIREMENTS:
Renter agrees to obtain and maintain throughout the term of the event, at Renter’s sole cost and expense, Liability Insurance. Such insurance must provide limits of not less than $1,000,000 for each occurrence. The City shall be named as an “Additional Insured” and copies of the insurance “Certificate of Evidence of Insurance” showing the City as Additional Insured, and shall not be allowed to be canceled or materially changed.

To obtain event insurance please go to https://app.gatherguard.com

By Checking This Box You Are Authorizing This As Your Digital Signature
Name
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