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! <br />APPLICATION FOR TOUFSdAMENT <br />NAME O.F PERSON RESPONSIBLE FOR TOURNAMENT <br />ADDRESS - . PHOT3E � WORK PH�NE <br />A1vTICIPATED NUMSER OF TEAMS IN TOURNAMENT ACTUAL <br />� TEAMS' . <br />.. DEPQSIT: ($200 at time of rese�rva�ion) � - <br />CLEAN-UP DEPQSIT ($iQ0) � (Returned if park is 7.eft litter-free; <br />_ ,. . _ - <br />_. _ . . - - <br />�,. <br />� DATE OF TOURNAMENT . ' ��: � � - �� <br />., . . - . <br />FIELDS REQUEST�D - - _ . •_ ._ <br />f <br />TYMES FIELD WILL BE NEEDED <br />AMOUNT PAID <br />RECEIVED BY <br />- Recr�ation. S�aff <br />Please make checks payable to Roseviile Park and Recreation Department, <br />1114 WoodhilZ Drive, Rosevi�le, Minnesota, 55�.�3. <br />We h�reby agree to abide by the rules and regulat�.ons for tournainents <br />as set down by the Roseville Park and Recreatian Department or forfez.t <br />aZl monies paid Co the Departinent. <br />AP LICANT <br />( Emergency questions wee�:ends: F�rank Rog (b4�+--9793) Roseville Police '- : <br />� (484-3371) �='- <br />Any injury resul�ing fram participating in tournament activities <br />shall be the responsibility of the tournar�ent sponsor and not of <br />the City of Roseville. <br />