Event Name: __________________________________________________________________

Renters Name: _______________________ Organization Name: ______________________

Address: ______________________________________________________________________
Phone: ________________________ Email: ____________________
Secondary Contact Name: __________________________ Phone: ______________________
Dates of Rental: ________________________________________________________________
Times of Rental: ______________________________ Number of teams: _________________
Date of Set-Up: __________ Date of Take-down: __________
Please check one:

Youth Event ____ Adult Event ____

REQUIRED:
1.
2.
3.
4.

Copy of event insurance

Copy of event registration form
Copy of all brackets and schedules no less than one week prior to event start
Copy of list of all participants (coaches, team names, number of players per team, state and
city of origin) three days prior to tournament start
5. Phone number of tournament director that will be available for the duration of the
tournament
6. Signed Code of Conduct and Release of Liability (attached)

FEES
All fees received will be accepted as donations to the West Newton Recreation Board
Fields requested:
#1 $70/day x ______ days = _________
#2 $70/day x ______ days = _________
#3 $70/day x ______ days = _________
#4 $70/day x ______ days = _________
#5 $70/day x ______ days = _________ Lights $30/day x ______ days = _________
Please specify requested field preparation here (Base Length, Lined, etc.):
#1: ______________________________________________________________________________
#2: ______________________________________________________________________________
#3: ______________________________________________________________________________
#4: ______________________________________________________________________________
#5: ______________________________________________________________________________
CONCESSION STAND OPTIONS (check option one or
_____1.
Concession stands requested (lessee organization is responsible for operating and cleanup and
retains all proceeds from sales):
Small Stand $20/day x ______ days = _________
Large Stand $30/day x ______ days = _________
Additional Concession Stand Requests:
Small Stand:
W.N.R.B. Board member or board designee to supervise/assist $10/hr x _______ hours = ________
(Minimal two provided staff from lessee organization at all times with board member)
Large Stand:
W.N.R.B. Board member or board designee to supervise/assist $10/hr x _______ hours = ________
(Minimal three provided staff from lessee organization at all times with board member)
______2.
Concession stands operated by W.N.R.B. and W.N.R.B. retains all proceeds from sales for an
agreed upon time schedule.

ADDITIONAL SERVICES
All fields will be prepped with bases at the start of gameday. If extra services are
requested by the Tournament Director (additional field work, additional port-a-potties
or cleanings, etc.), they must be discussed and agreed to in advance W.N.R.B., and
will be billed accordingly.
Extraordinary Measures: In the event of severe weather or other unexpected events,
extraordinary reasonable measures may need to be taken to ensure fields are playable
in a specific time frame. Under these circumstances, additional charges may apply
(field materials, extra staff, etc.).
CHARGES APPLY FOR ALL FIELDS BOOKED EVEN IF NOT ALL FIELDS
ARE USED.
Total field cost: _________________
Total light cost: _________________
Total Concession Cost: _________________
Additional Services cost: __________________
= Total cost: _________________
Half of total cost is required to secure date.
All remaining fees are due the first day of the scheduled event.
A copy of the renters insurance is required with this contract (Special Events Liability
Policy, min. $1,000,000, naming West Newton Boro and West Newton Recreation
Board as additional insured).
Renters are not guaranteed the same weekend in subsequent years without a written,
signed contract.
Please mail check and completed agreement to:
West Newton Recreation Board
Attn: Melissa Kopp
10 Harris St
West Newton, PA 15089

______________________________________
Renters Signature

______________
Date

______________________________________
West Newton Recreation Board Member Signature

______________
Date

Code of Conduct Policy

Goerhing Baseball Fields is owned, managed, and maintained by the West Newton
Boro and West Newton Recreation Board.
The West Newton Recreation Board sets forth these expectations for use of our
facilities:
1. When fields are being prepped or re-prepped, whether by W.N.R.B. staff or by
lessees staff, coaches need to remove their teams from the fields and dugouts
for the staffs safety as well as the players. Refusal to do so will result in the
fields not being re-prepped.
2. Any concerns should first be relayed to the Tournament Director, and then to a
W.N.R.B. board member.
3. Please dispose of trash properly in the receptacles throughout the grounds.
4. No person under the age of 21 is permitted to use the ATV or Golf Cart.
5. No person under the age of 21 is permitted to use any food preparation
equipment within any of the concession areas.
6. Hostility by any person or persons towards any W.N.R.B. board member or
appointed designee will result in removal from the facility, with police
intervention if necessary.

Indemnification and Release of Liability

Applicant hereby agrees to indemnify the Boro of West Newton, PA and the West
Newton Recreation Board, its officers, board members and employees, and defend
against all claims brought or actions filed for any and all claims, suits, actions, debts,
damages, costs, charges, and expenses including court costs and attorney's fees, and
against all liability, losses and damages of any nature whatsoever, including but not
limited to property damage and personal injury including death resulting at any time
therefrom, arising from any act of negligence, either active or passive, of the applicant
or any person acting on his/her/its behalf arising from the activities sponsored by
applicant on Boro and Recreation Board owned property, or resulting from the use of
Boro and Recreation Board owned equipment, as authorized pursuant to this
application.
Boro ordinance prohibits consumption of alcoholic beverages on public property.
I, the undersigned, hereby certify that I will be personally responsible on behalf of the applicant for
any damage sustained by equipment accruing through the occupancy or use of said equipment by the
applicant.
Signature: ____________________________________ Date: ________________________
Name (please print clearly): _______________________________________________