Athletic Field Permit Application

Please fill in the information below to reserve the athletic field at Thornbury Park. Please note: A Township Resident must be involved with the team.

Prior to submitting this form, please review Park_Ordinance #3.

Questions? Contact Geoff Carbutt via email: geoff@thornbury.org or phone: 610-399-8383, Ext. 107

Organization Name

Organization Address

Contact Name

Contact Address

Contact City

Contact Phone

Contact Email Address

Coach Name

Coach Phone

Coach Email Address

Athletic Director Name (if applicable)

Athletic Director Phone

Months & Days Requested

Time(s) of Use

Description of Proposed Event

Anticipated # of Cars

Township Resident Participant

Township Resident Address

I have received, read and accept the rules and regulations noted in Park Ordinance #3 of 2007 (see link at top of form)

Questions

Athletic Field Permit Application

Intro