Remington Community Development District
Ball Field Reservation Form

Name:		
(Resident)
Residential Address:		FL	
(Within Remington CDD)	Street Address	City	State ZIP Code

Mailing Address:		
(If different from Residential) Street Address	City	State ZIP Code

Phone:			Email: 	

Date(s) of Reservation: 		Time to be Reserved: 	 to 	
(2 hours maximum)
Number of Residents: 		Number of Non-Resident Guests: 	

Reason for Renting: 	

WAIVER:
On behalf of myself and any guests attending this event, I/we understand that the Remington Community Development District assumes no responsibility for injuries or illness that I/we may sustain as a result of physical condition or resulting from participation in any activities, sports, use of exercise equipment, or other activities. I/we expressly acknowledge on behalf of myself and my guests that I/we assume the risk for any and all injuries and illness that may result from participation in these activities. I/we hereby release and discharge the Remington Community Development District, its agents, servants, and employees from any claims for injury, illness, death, loss or damage that I/we may suffer as a result of participation in these activities. I/we understand that Remington Community Development District are not responsible for personal property lost or stolen while participating at the Remington Recreation Center, pool and sports facilities.
Signature:		 Date: 	
(Resident)

Rental Fee: $25.00
(per group per 2-hour block of time)

PLEASE MAIL THIS FORM AND PAYMENTS TO:	PRICING:
Remington CDD
Attn: Ball Field Reservation 219 E Livingston St Orlando, FL 32801

FOR OFFICE USE ONLY:
Rental fee of: 	 paid on: 	via check number