EmailMeForm
Gym Extended Permit/Event Request 2022/2023
Please complete the following form for special activities, tournaments, camps, events other than basketball or volleyball, non-sport rentals, or recurring rentals.
If you simply wish to rent a gym to have a "pick up" basketball or volleyball game, these reservations can be made online (7 days or less).
Your request will be reviewed within 5 business days and you will be contacted by a representative from the CRPD Sports Office.
Contact Name
*
First
Last
Group/Team/Organization Name
*
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Main Contact Phone
*
###
-
###
-
####
Main Contact Email
*
Name of individual as the on-site group contact person:
*
First
Last
On-site contact person phone number:
*
###
-
###
-
####
Have you rented with us before?
*
Please select
Yes
No
Start Date
*
MM
/
DD
/
YYYY
End Date
*
MM
/
DD
/
YYYY
Days of the Week Group Interested In
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Monday through Friday Time Block Choice
*
4:00pm-6:00pm
6:00pm-8:00pm
8:00pm-10:00pm
None of these
Saturday through Sunday Time Block Choice
*
8:00am-10:00am
10:00am-12:00pm
12:00pm-2:00pm
2:00pm-4:00pm
4:00-6:00pm
6:00pm-8:00pm
8:00pm-10:00pm
None of these
Participant Age Group
*
Please select
Youth
Adult
Number of courts needed (Sports other than Basketball or Volleyball must rent 2 or 4 courts, no single court rentals).
*
Please select
1
2
3
4
Sport or Event Type
*
Basketball
Volleyball
Futsal
Other
Special Event or Extended Permit
*
Special Event
Extended Permit
* Special Event - Tournament, Camp, etc. Typically a one time rental
* Extended Permit - Multiple rentals, typically for team practices
Age Group
*
Youth
Adult
Activity Type
*
Game
Practice
Other
Spectators will be permitted on a limited basis, and must receive prior approval. Spectators will only be permitted if a group rents all 4 courts at a time. Is your group interested in having spectators present (family member, parents, non-coaches, etc.)?
*
Yes
No
Are you requesting usage of a scoreboard?
*
Yes
No
For futsal customers: Will you utilize CRPD-provided futsal goals (permit holder equipment subject to approval)?
Yes
No
Description of rental or additional details.
*
Which Gym Are You Interested In?
Please select your top 3 choices below (Berliner and McDonald will NOT be available Monday-Thursday 6pm-10:30pm).
1st Choice Gym
*
Please select
Berliner
Big Run
Cleo Dumaree
McDonald
Willis
2nd Choice Gym
Please select
Berliner
Big Run
Cleo Dumaree
McDonald
Willis
3rd Choice Gym
Please select
Berliner
Big Run
Cleo Dumaree
McDonald
Willis
If you have documentation of your request dates, times, locations, etc., please attach here:
