2. *Important*
4. You are not guaranteed the requested facility until it is approved by the sports coordinator. You will be contacted within 24 to 48 hours of submittal.
6. 
   
8. Name of Organization:*
10. Age Division:*
12. Contact Person:*
13. E-Mail Address
15. Phone Number:*
17. Address:*
19. E-mail Address:*

21. 
    
23. Requested Facility:*
    -- Select One --Please select from listBuena Vista FieldDaniel Fernandez SoftballDaniel Fernandez Tennis CourtsDaniel Fernandez Football/Soccer FieldHeritage Park FieldsLos Cerritos FieldLos Lunas Sports Plex Soccer FieldsLos Lunas Sports Plex Baseball Field #1Los Lunas Sports Plex Baseball Field #2San Antonio Tennis CourtsSan Antonio Field
25. *If requesting a facility within the Los Lunas Public Schools, approval must also be granted by the school principal and director of maintenance. This process may require more than the referenced time frame of 48 hours.
27. 
    
29. Requested Day(s) of Week:*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
31. 
    
33. Start Time*
    -- Select One --8:00am9:00am10:00am11:00am12:00pm1:00pm2:00pm3:00pm4:00pm5:00pm6:00pm7:00pm8:00pm
34. End Time*
    -- Select One --8:00am9:00am10:00am11:00am12:00pm1:00pm2:00pm3:00pm4:00pm5:00pm6:00pm7:00pm8:00pm9:00pm
36. 
    
38. Starting Date:*
39. Ending Date:*
41. 
    
43. Other Comments or Times:
45. 
    
47. Organizations agree to the Following:
49. -No Tobacco or alcoholic beverages allowed!

    -All requests to use the Athletic Sports facilities will be made to the Sports & Fitness department by the individual of said team or league sports organization.

    -Organizations or individual using sports facilities must be in agreement with respective times and dates prior to the start of the event.

    -A new request must be submitted if organization wishes to change dates or times.

    -Organization must have proper insurance.

    -No concessions will be available, without the consent of the Sports Coordinator.

    -All trash must be picked up which includes fields, dugouts, in and around area to be used by an organization.

    -Organization will be assessed the cost of repairs and/or replacement of damaged property and/or equipment as determined by administration personnel.

    -Village of Los Lunas will not be responsible for any injury or accident occurring during the use of the facility.

    -The sponsoring agent shall hold harmless and indemnify the Village, its governing body, officers, employees, agents, from all claims, liabilities, obligations, loses, and the like, asserted by any third parties arising from or caused by the sponsoring agent negligence, misrepresentation, fraud, or any other acts. The indemnity and hold harmless agreement shall include reimbursement of all attorney fees, costs and expenses incurred by the village, its governing body, officers, employees or agent. As between the parties each party shall be solely responsible for any and all liability arising from personal injury, including death or damage to property arising from the act or failure to act of the respective party or of its officials. Agents and employees pursuant to this agreement . The liability to the Village shall be subject to the immunities and limitations or the tort claims ACT, 41-41-1 N.M.S.A 1978 ET SEQ and any amendments thereto.
51. 
    
53. I have read and understand the foregoing agreement*
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

* indicates a required field