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2. ATHLETIC FIELD INFORMATION
4. Month/ Year*
5. Name*
6. League/ Team Name*
8. Number of Teams*
9. # County Residents*
10. # Non-Residents*
11. Player Registrations*
13. Fields Used (Select All)

    1. AA Field
    2. T-Ball Field
    3. Ace's Diamond
    4. Lonesome Oak
    5. Admin Multi-Use Field
    6. Pitt Field
    7. Turner Field
    8. Jenny's Field
    9. Lisa's Field

    1. FCP Orange
    2. FCP Green
    3. FCP Blue
    4. FCP Black
    5. FCP Soccer 1
    6. FCP Soccer 2
    7. FCP Soccer 3
    8. Animal Shelter Field
    9. Pocahontas Elem

    1. Powhatan Elem
    2. Flat Rock Elem
    3. PLC Baseball
    4. PLC Softball
    5. PLC Multi-Use
    6. PMS Baseball
    7. PMS Softball
    8. PMS Practice
    9. PMS Stadium
15. INDIVIDUAL FIELD USE

    Please complete a row for each field used within the month. 

17. Field*
18. Number of Days Used*
19. Monthly Hourly Field Use*
20. Cancellations *
22. Field
23. Number of Days Used
24. Monthly Hourly Field Use
25. Cancellations
27. Field
28. Number of Days Used
29. Monthly Hourly Field Use
30. Cancellations
32. Field
33. Number of Days Used
34. Monthly Hourly Field Use
35. Cancellations
37. Field
38. Number of Days Used
39. Monthly Hourly Field Use
40. Cancellations
42. Field
43. Number of Days Used
44. Monthly Hourly Field Use
45. Cancellations
47. Field
48. Number of Days Used
49. Monthly Hourly Field Use
50. Cancellations
52. Field
53. Number of Days Used
54. Monthly Hourly Field Use
55. Cancellations
57. Field
58. Number of Days Used
59. Monthly Hourly Field Use
60. Cancellations
62. Field
63. Number of Days Used
64. Monthly Hourly Field Use
65. Cancellations
67. Field
68. Number of Days Used
69. Monthly Hourly Field Use
70. Cancellations
72. Field
73. Number of Days Used
74. Monthly Hourly Field Use
75. Cancellations
79. TOURNAMENT/ CAMP INFORMATION
81. Tournaments/ Camps (Total)
82. Teams Attended (Total)
83. Players Attended (Total)
84. Powhatan Teams (Total)
86. Tournament Days (Total)
90. FIELD MAINTENANCE COMMENTS/ CONCERNS
92. Comments/Concerns

96. Thank you for supporting Powhatan Parks & Rec!

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98. 1. Receive an email copy of this form.
99. Email address

    This field is not part of the form submission.

100. Submit

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