Please fill out this form if you are interested in applying for use of City of Mansfield Athletic Fields. All organizations must submitt this application by June 1st for the spring season and January 1st for the fall season.

Season Applying For: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Association Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Are you currently under an agreement for use of Mansfield athletic fields? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Primary Contact Representative

Full Name (first, middle, last) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Association Information

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Public Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Social Media Pages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Public Email Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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In what year did your association form? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Is your Association a 501C3 Non Profit? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Tax ID Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does Your Association have established by-laws? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please upload a copy of your most recent by-laws. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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{binding Description}

Does your Association have a non-discrimination policy? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does your Association carry a general liablity insurance policy? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name of Insurance Provider: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does your Association require background checks on board members, coaches and volunteers? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Association Mission Statement: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Additional Information: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Association Board Members and Officers

President:

Term Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Term End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Background {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Vice President:

Term Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Term End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Background {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Board Member:

Term Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Term End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Background {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Board Member:

Term Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Term End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Background {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Board Member:

Term Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Term End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Background {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Description of the Program

Ages and Skill Levels Offered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Anticipated Seasonal Registration Fees - Youth Recreational {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does this fee include everything to participate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If No, please list other fees: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Seasonal Registration Fees - Youth Select/Travel {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does this fee include everything to participate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If No, please list other fees: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Seasonal Registration Fees - Teen Recreational {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does this fee include everything to participate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If No, please list other fees: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Seasonal Registration Fees - Teen Select/Travel {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Does this fee include everything to participate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If No, please list other fees: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Seasonal Registration Fees - Adult {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Does this fee include everything to participate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If No, please list other fees: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Do you plan on offering the following... {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Do you have a training program for your coaches and volunteers? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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It Yes, please provide a description of the training. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Additional Program Information {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Field Use Request

Skinner Sports Complex Baseball {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Skinner Sports Complex Soccer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Chandler Park Baseball {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Chandler Park Football {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

McKnight Park East Softball {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

McClendon Park West Softball {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

McClendon Park East Baseball {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phillip Thompson Soccer Complex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Hardy Allmon Soccer Complex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Estimated Number of Teams {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Estimated Number of Participants {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Additional Information {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Annual Budget Information

Does your Association participate in a yearly independent financial audit? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please give the date of your latest independent financial audit. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please upload a copy of your most recent budget or financial statement. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Untitled

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application. I understand that false or misleading information given in my application or interview may result in disqualification. I also understand that I am required to abide by all rules and regulations of the City of Mansfield. Persons listed in this application are subject to a Texas criminal background check.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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