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Field Allocation Request Form
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Organization/League Name:
Contact Person:
Street Address:
City:
Postal Code:
Home Phone #:
Business or Celluar Phone #:
Fax #:
Email:
 
Upload last season's roster(s). This form will not submit without roster(s) being attached. Include team member's names, address, city, postal code and phone numbers. The City is collecting personal information in accordance with the Freedom of Information and Protection of Privacy Act for the purpose of determining field allotment and to verify residency. Misrepresentation of residency may result in cancellation or changes to your field allotment.
Indicate number of teams your organization/league anticipates for the upcoming season:
REGULAR SEASON
Choose the day(s) of the week you would like to play on?
MondayTuesdayWednesdayThursdayFriday
SaturdaySunday
List the time(s) you would like to play for each of the day(s) indicated above?
Season Start Date:
Pick date
Season End Date:
Pick date
List field(s) requested - be specific (eg. all weather or grass):
TOURNAMENT #1
Start Date:
Pick date
Clear selection
End Date:
Pick date
Clear selection
Friday's Start time:
Friday's End Time:
Saturday's Start Time:
Saturday's End Time:
Sunday's Start Time:
Sunday's End Time:
Are you having a beer garden?
NoYes - must obtain "extra" liability insurance over and above the $2 million insurance needed
List field(s) requested - remember to be specific (eg. all weather or grass):
TOURNAMENT #2
Start Date:
Pick date
Clear selection
End Date:
Pick date
Clear selection
Friday's Start time:
Friday's End Time:
Saturday's Start Time:
Saturday's End Time:
Sunday's Start Time:
Sunday's End Time:
Are you having a beer garden?
NoYes - must obtain "extra" liability insurance over and above the $2 million insurance needed
List field(s) requested - remember to be specific (eg. all weather or grass):
TOURNAMENT #3
Start Date:
Pick date
Clear selection
End Date:
Pick date
Clear selection
Friday's Start time:
Friday's End Time:
Saturday's Start Time:
Saturday's End Time:
Sunday's Start Time:
Sunday's End Time:
Are you having a beer garden?
NoYes - must obtain "extra" liability insurance over and above the $2 million insurance needed
List field(s) requested - remember to be specific (eg. all weather or grass):
 

 Important Notes:

  • The completion of this application form does not guarantee your organization/league a field in Port Coquitlam.
  • New field requests will not be considered if the organization/league or individual owes money to the City of Port Coquitlam.

Port Coquitlam Parks and Recreation Department