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Sports and Facilities North - Rental Team Contact Information

  1. Managers / Head Coaches are responsible for submitting the following form prior to attending activities at JCPRD sports facilities. Each participating player must be listed, along with the two adults who will most likely attend in support of each player. All coaches must be listed. All contact information must be complete. Failure to submit this form, with complete information, by the deadline listed for your rental may result in the cancellation of rentals. Information provided here may be released only to County or State agencies upon request in response to possible Covid-19 exposure.
  2. JCPRD Form Center Header
  3. RENTAL TEAM INFORMATION & MAIN CONTACT
    This form is for RENTAL TEAMS. If your team is also currently registered, or planning to register for the current season, please complete the LEAGUE TEAM version.
  4. Team Sport*
  5. For practices, please list the name of the renter who booked and paid for your practice.
  6. For practices, please list the name of the renter who booked and paid for your practice.
  7. For practices, please list the name of the renter who booked and paid for your practice.
  8. Is the person completing this form the Manager / Head Coach / Renter listed above?
  9. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. I attest that the information below is accurate to the best of my knowledge and I have received permission to share this information with JCPRD with the understanding that it may be released to County or State health agencies upon request in response to possible Covid-19 exposure.
  11. All coaches must be listed below with complete information. Coaches with blank fields will be unable to participate until required information is submit.
  12. COACH 1
  13. Is this coach on your team?*
  14. COACH 2
  15. Is this coach on your team?*
  16. COACH 3
  17. Is this coach on your team?*
  18. COACH 4
  19. Is this coach on your team?*
  20. COACH 5
  21. Is this coach on your team?*
  22. COACH 6
  23. Is this coach on your team?*
  24. All players must be listed below with complete information. Players with blank fields will be unable to participate until required information is submit.
  25. PLAYER 1
  26. Is this player on your team?*
  27. PLAYER 2
  28. Is this player on your team?*
  29. PLAYER 3
  30. Is this player on your team?*
  31. PLAYER 4
  32. Is this player on your team?*
  33. PLAYER 5
  34. Is this player on your team?*
  35. PLAYER 6
  36. Is this player on your team?*
  37. PLAYER 7
  38. Is this player on your team?*
  39. PLAYER 8
  40. Is this player on your team?*
  41. PLAYER 9
  42. Is this player on your team?*
  43. PLAYER 10
  44. Is this player on your team?*
  45. PLAYER 11
  46. Is this player on your team?*
  47. PLAYER 12
  48. Is this player on your team?*
  49. PLAYER 13
  50. Is this player on your team?*
  51. PLAYER 14
  52. Is this player on your team?*
  53. PLAYER 15
  54. Is this player on your team?*
  55. Leave This Blank:

  56. This field is not part of the form submission.