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

Group/Event Name:

Directors Name:

Phone Number

Email Address

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Start Date

End Date

Times you would like field use:

Fields Reserved

S-1 (Can Use Lights From Baseball Fields)
S-3 (No Lights)

Accomodations:

Division Type

Youth
Men
Women
CoEd

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

League Use (1-2 Hours)

Layout (copy)

S-1: Total Adult Soccer Games No Lights x $45 each= $ due

S-1: Total Youth Soccer Games No Lights x $25 each= $ due

S-1: Total Soccer Practices (2 Hours) No Lights x $25 each= $ due

S-1: Total Number of Per Hour Light Fees x $25 each= $ due

S-3: Total Adult Soccer Games/Practices x $25 each= $ due

S-3: Total Youth Soccer Games/Practices x $25 each= $ due

Total of All Combined Fees= $ due

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

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Name

First

Last

City Hall: (360) 384-4302
Police Station: (360) 384-3390
Public Works: (360) 384-4006
Utility Billing: (360) 384-4269
Municipal Court: (360) 384-2827

See All Phone Numbers

Soccer Field Reservation Form

City of Ferndale, Washington

Phone Numbers

City Hall

Police Station