Green Space Rental Contact InformationName of Group:*Contact Person's Name* First Last On Site Contact Person's Name (if different than above) First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Request DetailsAvailable areas include: Penn Meadows Park Soccer Area, Penn Meadows Park NW Shelter and Concession Stand, Quail Park and Centennial Park. Green Space Rental$15/hour Penn Meadows Concession Stand Rental$500/weekend $300/day Deposit (only for tournaments)$50. Deposit will be deducted from final bill if cleared from the parks department after the event. Date Requested* Space Requested (please select all needed for the selected date)* Penn Meadows Park Soccer Area Penn Meadows Park NW Shelter Penn Meadows Park NW Concession Stand Quail Park Centennial Park Start Time/End Time:*Is this for a practice, game or tournament?* Practice Game Tournament Camp Wedding Other Please provide a brief description of your event/activity.*Terms and ConditionsIf the fields or the area aren't in good condition after the rental of a tournament then some or all of the deposit will be kept to cover the cost and future rentals may be denied. Provide a certificate of insurance prior to the event listing the City of North Liberty as an additional insured on the Commercial General Liability Insurance with a combined single limit not less than $1,000,000 per occurrence. Fees due either at time of reservation or can be billed if set up with the assistant recreation director. If the fields or the area aren't in good condition after the rental of a tournament then some or all of the deposit will be kept to cover the cost and future rentals may be denied. By clicking submit I acknowledge that I have read and agree to the terms and conditions of this rental.