Welcome to City of High Point Form Center

2. GENERAL INFORMATION SECTION
4. First Name*
5. Last Name*
7. Date of Birth*
   Date of Birth
8. Gender

   1. Male

   1. Female
10. Mailing Address*
12. City*
13. State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
14. Zip Code*
16. Email Address*
18. Phone Number*
19. Work Phone Number
20. Fax Number
22. Organization
24. Adult or Youth Activity*

    1. Adult
    2. Youth
25. Sport*
26. Number of expected participants and spectators*
28. Type of Activity*

    1. Clinic
    2. Game
    3. League
    4. Practice/Pickup
    5. Special Event
    6. Tournament
29. Do you have Liability Insurance?*

    1. Yes
    2. No
30. Are you fundraising?*

    1. Yes
    2. No
31. Are you charging admission*

    1. Yes
    2. No
33. Will there be vendors?*

    1. Yes
    2. No
34. Are you providing concessions?*

    1. Yes
    2. No
35. Do you have a Guilford County Health Department Permit for concessions?*

    1. Yes
    2. No
    3. N/A
37. Will you need power?*

    1. Yes
    2. No
38. Will you need lights?*

    1. Yes
    2. No
39. Will you need field preparation?*

    1. Yes
    2. No
41. Please explain your field preparation needs.*
    Field dimensions, number of fields, game lines, goals, etc.
45. LOCATION, DATE, & TIME SECTION
    Please be very detailed and include setup/breakdown time in your request
47. Location
    -- Select One --Allen Jay Field 1Allen Jay Field 2Allen Jay Field 3Armstrong Ball FieldBrentwood Field 1Brentwood Field 2Burnett Park Soccer FieldBurnett Park Ball Field 1Burnett Park Ball Field 2Cedrow Park Ball FieldDeep River Field 1Deep River Field 2Deep River Field 3Harvell Park Ball FieldHarvell Park Cricket FieldHedgecock Park Ball FieldHP Athletic Complex - Correll MorrisHP Athletic Complex - Ed PriceHP Athletic Complex - Football FieldHP Athletic Complex - North 1HP Athletic Complex - North 2HP Athletic Complex - SouthHP Athletic Complex - TrackHP Athletic Complex - West 1HP Athletic Complex - West 2HP Athletic Complex - West 3HP Athletic Complex - West 4HP Athletic Complex - West 5Johnson Street Complex Field 1Johnson Street Complex Field 2Johnson Street Complex Field 3Johnson Street Complex Field 4Johnson Street Complex Field 5Johnson Street Complex Field 6Macedonia Ball FieldMorehead Field 1Morehead Field 2Oakview Upper Ball FieldOakview Lower Ball FieldOakview Multipurpose FieldWashington Terrace Football FieldWashington Terrace Softball FieldWest End Park Field 1West End Park Field 2West End Park Field 3
48. Date
    Date
49. Start and End Time
    Start and End Time Start Time

    —

    Start and End Time End Time
51. Location
    -- Select One --Allen Jay Field 1Allen Jay Field 2Allen Jay Field 3Armstrong Ball FieldBrentwood Field 1Brentwood Field 2Burnett Park Soccer FieldBurnett Park Ball Field 1Burnett Park Ball Field 2Cedrow Park Ball FieldDeep River Field 1Deep River Field 2Deep River Field 3Harvell Park Ball FieldHarvell Park Cricket FieldHedgecock Park Ball FieldHP Athletic Complex - Correll MorrisHP Athletic Complex - Ed PriceHP Athletic Complex - Football FieldHP Athletic Complex - North 1HP Athletic Complex - North 2HP Athletic Complex - SouthHP Athletic Complex - TrackHP Athletic Complex - West 1HP Athletic Complex - West 2HP Athletic Complex - West 3HP Athletic Complex - West 4HP Athletic Complex - West 5Johnson Street Complex Field 1Johnson Street Complex Field 2Johnson Street Complex Field 3Johnson Street Complex Field 4Johnson Street Complex Field 5Johnson Street Complex Field 6Macedonia Ball FieldMorehead Field 1Morehead Field 2Oakview Upper Ball FieldOakview Lower Ball FieldOakview Multipurpose FieldWashington Terrace Football FieldWashington Terrace Softball FieldWest End Park Field 1West End Park Field 2West End Park Field 3
52. Date
    Date
53. Start and End Time
    Start and End Time Start Time

    —

    Start and End Time End Time
55. Location
    -- Select One --Allen Jay Field 1Allen Jay Field 2Allen Jay Field 3Armstrong Ball FieldBrentwood Field 1Brentwood Field 2Burnett Park Soccer FieldBurnett Park Ball Field 1Burnett Park Ball Field 2Cedrow Park Ball FieldDeep River Field 1Deep River Field 2Deep River Field 3Harvell Park Ball FieldHarvell Park Cricket FieldHedgecock Park Ball FieldHP Athletic Complex - Correll MorrisHP Athletic Complex - Ed PriceHP Athletic Complex - Football FieldHP Athletic Complex - North 1HP Athletic Complex - North 2HP Athletic Complex - SouthHP Athletic Complex - TrackHP Athletic Complex - West 1HP Athletic Complex - West 2HP Athletic Complex - West 3HP Athletic Complex - West 4HP Athletic Complex - West 5Johnson Street Complex Field 1Johnson Street Complex Field 2Johnson Street Complex Field 3Johnson Street Complex Field 4Johnson Street Complex Field 5Johnson Street Complex Field 6Macedonia Ball FieldMorehead Field 1Morehead Field 2Oakview Upper Ball FieldOakview Lower Ball FieldOakview Multipurpose FieldWashington Terrace Football FieldWashington Terrace Softball FieldWest End Park Field 1West End Park Field 2West End Park Field 3
56. Date
    Date
57. Start and End Time
    Start and End Time Start Time

    —

    Start and End Time End Time
59. Location
    -- Select One --Allen Jay Field 1Allen Jay Field 2Allen Jay Field 3Armstrong Ball FieldBrentwood Field 1Brentwood Field 2Burnett Park Soccer FieldBurnett Park Ball Field 1Burnett Park Ball Field 2Cedrow Park Ball FieldDeep River Field 1Deep River Field 2Deep River Field 3Harvell Park Ball FieldHarvell Park Cricket FieldHedgecock Park Ball FieldHP Athletic Complex - Correll MorrisHP Athletic Complex - Ed PriceHP Athletic Complex - Football FieldHP Athletic Complex - North 1HP Athletic Complex - North 2HP Athletic Complex - SouthHP Athletic Complex - TrackHP Athletic Complex - West 1HP Athletic Complex - West 2HP Athletic Complex - West 3HP Athletic Complex - West 4HP Athletic Complex - West 5Johnson Street Complex Field 1Johnson Street Complex Field 2Johnson Street Complex Field 3Johnson Street Complex Field 4Johnson Street Complex Field 5Johnson Street Complex Field 6Macedonia Ball FieldMorehead Field 1Morehead Field 2Oakview Upper Ball FieldOakview Lower Ball FieldOakview Multipurpose FieldWashington Terrace Football FieldWashington Terrace Softball FieldWest End Park Field 1West End Park Field 2West End Park Field 3
60. Date
    Date
61. Start and End Time
    Start and End Time Start Time

    —

    Start and End Time End Time
63. Location
    -- Select One --Allen Jay Field 1Allen Jay Field 2Allen Jay Field 3Armstrong Ball FieldBrentwood Field 1Brentwood Field 2Burnett Park Soccer FieldBurnett Park Ball Field 1Burnett Park Ball Field 2Cedrow Park Ball FieldDeep River Field 1Deep River Field 2Deep River Field 3Harvell Park Ball FieldHarvell Park Cricket FieldHedgecock Park Ball FieldHP Athletic Complex - Correll MorrisHP Athletic Complex - Ed PriceHP Athletic Complex - Football FieldHP Athletic Complex - North 1HP Athletic Complex - North 2HP Athletic Complex - SouthHP Athletic Complex - TrackHP Athletic Complex - West 1HP Athletic Complex - West 2HP Athletic Complex - West 3HP Athletic Complex - West 4HP Athletic Complex - West 5Johnson Street Complex Field 1Johnson Street Complex Field 2Johnson Street Complex Field 3Johnson Street Complex Field 4Johnson Street Complex Field 5Johnson Street Complex Field 6Macedonia Ball FieldMorehead Field 1Morehead Field 2Oakview Upper Ball FieldOakview Lower Ball FieldOakview Multipurpose FieldWashington Terrace Football FieldWashington Terrace Softball FieldWest End Park Field 1West End Park Field 2West End Park Field 3
64. Date
    Date
65. Start and End Time
    Start and End Time Start Time

    —

    Start and End Time End Time
67. Do you have additional locations, dates and times?
    Please list any additional locations with the dates and times that you may need.
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field