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2. 

4. ALL REQUESTS MUST BE MADE WITHIN 72 HOURS OF THE RESERVATION

6. Organization*
7. Today's Date*
9. Main Contact Person*
10. Email*
12. Address*
14. City*
15. State*
16. Zip Code*
18. Primary Phone*
19. Age Group*
20. Team(s)*
22. Please list any special requests for field maintenance, dates, and times*

24. Reoccurring Requests

28. Start Date
    Start Date
29. End Date
    End Date
30. Day of the Week
    -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday
31. Time
33. Field
    -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum Field Dale Blum (Open Space)AVM
34. Reason
    -- Select One --PracticeGame
35. Field Dimensions
36. Lights

    1. Yes

    1. No
40. Start Date
    Start Date
41. End Date
    End Date
42. Day of the Week
    -- Select One --MondayTuesdayWednesdayThurdayFridaySaturdaySunday
43. Time
45. Field
    -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
46. Reason
    -- Select One --PracticeGame
47. Field Dimensions
48. Lights

    1. Yes

    1. No

52. Individual Requests

58. Date
    Date
59. Time
60. Field
    -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
61. Reason
    -- Select One --PracticeGame
63. Field Dimensions
64. Lights

    1. Yes

    1. No
68. Date
    Date
69. Time
70. Field
    -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
71. Reason
    -- Select One --PracticeGame
73. Field Dimensions
74. Lights

    1. Yes

    1. No
78. Date
    Date
79. Time
80. Field
    -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
81. Reason
    -- Select One --PracticeGame
83. Field Dimensions
84. Lights

    1. Yes

    1. No
88. Date
    Date
89. Time
90. Field
    -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
91. Reason
    -- Select One --PracticeGame
93. Field Dimensions
94. Lights

    1. Yes

    1. No
98. Date
    Date
99. Time
100. Field
     -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
101. Reason
     -- Select One --PracticeGame
103. Field Dimensions
104. Lights

     1. Yes

     1. No
108. Date
     Date
109. Time
110. Field
     -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
111. Reason
     -- Select One --PracticeGame
113. Field Dimensions
114. Lights

     1. Yes

     1. No
118. Date
     Date
119. Time
120. Field
     -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
121. Reason
     -- Select One --PracticeGame
123. Field Dimensions
124. Lights

     1. Yes

     1. No
128. Date
     Date
129. Time
130. Field
     -- Select One --Volunteer 1Volunteer 2Volunteer 3Village 1Village 2Village 3Village 4Village 5Century 1Century 2Volunteer Park (Open Space)Discovery ParkDale Blum FieldDale Blum (Open Space)AVM
131. Reason
     -- Select One --PracticeGame
133. Field Dimensions
134. Lights

     1. Yes

     1. No
138. Portable Fence at Volunteer Field 1 & 2 ($140 per fence, per field)*

     1. Yes

     1. No

     1. N/A

140. FIELD USAGE POLICIES
     
     

     1. The requested date(s) and time(s) are considered pending until confirmation is received from the Athletic Supervisor.
     2. Field usage date must be reserved a minimum of 72 hours prior to the event. Field usage is on a first come, first serve basis. Rental form completion and payment of fees are due at the time the reservation is made, for 5 dates or less.
     3. Cancellations must be made 72 hours in advance of the reserved date or your organization will be charged the full field rental fee.
     4. Organizations with a past due balance cannot reserve athletic fields until full balance is paid.
     5. In the event the field rented is needed for Recreation Department activities and facility maintenance, renters may be asked to forfeit their reservation for a full refund.
     6. Because there are different organizations using the fields at various times, all renters and guests are asked to leave the field directly after the time slot indicated on this form.
     7. Please bring your copy of this form or confirmation with you on the date of your event.
     8. Fires, Drugs, and Alcohol are PROHIBITED on all Recreation Department fields, Village Property and surrounding areas.
     9. All organizations requesting field or facility usage must complete the attached indemnification and provide the Village with a certificate of  insurance prior to using Recreation Department fields/facilities. The Recreation Department reserves the right to review and approve all limits and coverages of such insurance. Organization must list the Village of Romeoville as additionally insured.
     10. Organization must provide a full roster to receive corresponding rates.
     11. Organization is responsible for any and all costs associated with any and all intentional damages to the fields/site.
     12. All local and/or travel teams must submit a roster for proof of residency, in order to receive the residency rate. 
     13. Current fees are only applicable for 2026. All fees will increase in 2027.

     14. Field reservations can start as early as 5:00pm on weekdays and 9:00am on weekends. No field lights available after 10:00pm on all athletic fields.

     15. I understand that all organizations and participants are advised that their use of Romeoville Park and Recreation Department facilities and/or participation in Department programs is subject to the provisions of Chapter 94 of the Village Code of Ordinances, including but expressly not limited to those governing personal conduct.  Organizations and participants that violate applicable provisions of Chapter 94 of the Village Code of Ordinances may be subject to the suspension or termination of their privileges to use Department facilities or to participate in Department programs, and may be prohibited from future facility use or program participation.
         
         
         

142. Certificate of Insurance

     All organizations requesting field or facility usage must complete the attached indemnification and provide the Village with a certificate of  insurance prior to using Recreation Department fields/facilities. The Recreation Department reserves the right to review and approve all limits and coverages of such insurance. Organization must list the Village of Romeoville as additionally insured.

144. I hereby acknowledge that*

     1. I have read, understand and agree to the terms of this document
146. Signature of Lessee*

     By typing your name into this field you authorize the Village of Romeoville to consider this an electronic signature.

     Approval is the sole discretion of the Village of Romeoville

147. Date*
     Date

151. ROMEOVILLE RECREATION DEPARTMENT FIELD/FACILITY USE INDEMNIFICATION

     
     ROMEOVILLE RECREATION DEPARTMENT -- ORGANIZATION PARTICIPANT AGREEMENT

     NOTE:  THIS AGREEMENT MUST ALSO BE SIGNED BY ALL ADULT PARTICIPANTS AND MUST ALSO BE SIGNED BY A PARENT OR GUARDIAN OF ANY MINOR SEEKING TO PARTICIPATE IN ANY RECREATION DEPARTMENT PROGRAMS OR ACTIVITIES.

     WARNING OF RISK

     Despite the implementation of all reasonable precautions by the Department, an unavoidable risk of serious injury will always exist when participating in any recreational activity.  Not all hazards and dangers can be foreseen. Participants and parents/guardians of minor participants must understand that certain risks and hazards will be inherent to participation in that activity, including but not limited to risks and hazards associated with inclement weather, slip and falls, overexertion and fatigue, disregarding safety rules and instructions, collision with stationary objects or other participants, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating.  Additionally, participants and parents/guardians of minor participants are further expressly informed that any program or activity involving the presence of or interaction with other persons can carry the risk of the transmission of disease between such persons. Accordingly, the Department hereby informs all participants and parents/guardians of minor participants that it is impossible for the Romeoville Recreation Department to guarantee absolute safety for all program and activity participants, or to guarantee that programs and activities are free from the risk of the transmission of disease.

     
     

     WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK

     I acknowledge and assume the risks of property damage, accidents, injuries (including death), loss of bodily functions, transmission of disease, disabilities, medical disorders, pain and suffering, lost income and medical expenses that arise from participation in any program or activity offered by the Department, and my use of facilities, transportation services, premises and equipment provided by the Department. I further acknowledge that the foregoing risks may arise from my own action or inaction, the actions or inaction of other program or activity participants, the conditions under which a program or activity is conducted, or from the negligent actions or inaction (including any failure to warn) of Department personnel, contractors or service providers. I also acknowledge that from time to time, the Village of Romeoville and/or the Department may take photographs or videos with or without sound of me participating in programs or activities offered by the Department for use and publication and/or broadcast in various publications or media, including but not limited to the Village’s website, Facebook account or other social media sites or accounts, live internet video streams, the Village’s public access cable channel, Department program brochures or materials, and Village or Department informational, promotional or marketing materials, and I hereby expressly grant to the Village of Romeoville and the Department the right to use and publish and broadcast such photographs and videos as contemplated herein, all without compensation or payment for such use and publication or broadcast. In the event that a trip registrant is unable to continue participating in the trip, whether for medical or other reasons, the trip registrant will be responsible to arrange for return travel back to their residence.  The Village of Romeoville Parks and Recreation Department and its cooperating agencies are not responsible for arranging registrant return travel due to a registrant’s decision to return home early or due to a registrant’s inability to continue the scheduled trip. In consideration of being allowed to participate in programs or activities offered by the Department, or to use facilities, transportation services, premises and equipment provided by the Department, I hereby release, waive and discharge the Village of Romeoville and its officers, officials, employees, agents, volunteers and contractors (collectively, the “Releasees”) from any and all liability and all claims of any kind whether for personal injury, transmission of disease, property damage or death, arising from participation in any activity or program offered by the Department, arising from my use of facilities, transportation services, premises and equipment provided by the Department, or arising from the use or publication or broadcast by Releasees of photographs or videos of me participating in programs or activities offered by the Department, whether or not caused by the negligence of the Releasees or any of them and further covenant that I shall not sue any of the Releasees with respect to any such liability or claims. In the event that I or anyone else nonetheless makes a claim or files suit against Releasees arising out of any of the above-described matters, I will indemnify and hold Releasees harmless of and from any and all damages or judgments and costs of litigation, including attorney fees. The provisions hereof are to be construed as broadly as possible in favor of Releasees, and this Agreement as a whole shall be governed by the laws of the State of Illinois (without reference to the conflicts of laws rules thereof). If any part of this Agreement shall be ruled invalid by a court having jurisdiction, the balance shall be enforced to the maximum possible extent. I am signing this Agreement freely and voluntarily, having read and understood it and with a full opportunity to consider its substance and with the intention of fully and unconditionally assuming the risks and releasing the liabilities as described above in this Agreement.

153. STATE HEALTH REQUIREMENT

     All renters, parents/guardians, registrants and participants are advised that all Romeoville Recreation Department facilities, rentals, activities and uses are required by the State of Illinois to be used or conducted in accordance with State-issued guidelines, as revised or modified from time to time. All participants will be required to comply with the applicable State guidelines in force at any given time as a condition of their continued attendance at or participation in any Romeoville Recreation Department facility, rental, activity or use.  All renters/registered participants of the Romeoville Recreation Department for any rental, facility, activity, use or purpose shall be responsible for being aware and informed of the then-current State and/or Village guidelines related to Romeoville Recreation Department rentals, facilities, activities and uses,  and for ensuring that all participants comply with the same.

154. Initial*
156. PERSONAL CONDUCT

     All organizations and participants are advised that their use of Romeoville Park and Recreation Department facilities and/or participation in Department programs is subject to the provisions of Chapter 94 of the Village Code of Ordinances, including but expressly not limited to those governing personal conduct.  Organizations and participants that violate applicable provisions of Chapter 94 of the Village Code of Ordinances may be subject to the suspension or termination of their privileges to use Department facilities or to participate in Department programs, and may be prohibited from future facility use or program participation.

157. Initial*
159. Fee Structure
     2026 Athletic Field Fee Structure

     Please initial to acknowledge that you have read and understand the current fee structure.

160. Initial*
162. Organization Name*
164. Completed By*
165. Date*
     Date
167. Attest (Authorized Officer/Agent)*

     By typing your name into this field you authorize the Village of Romeoville to consider this an electronic signature.

     Approval is the sole discretion of the Village of Romeoville

168. Date*
     Date
Leave This Blank:


170. 1. Receive an email copy of this form.
171. Email address

     This field is not part of the form submission.

172. Submit

* indicates a required field