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Mason Parks & Recreation Department <br /> Youth Sports User Group Application <br /> Name of <br /> Organization/Group <br /> Describe Program Scope (include number and age of children served) <br /> Mailing Address <br /> Primary Contact Person <br /> Address <br /> Telephone <br /> E-mail <br /> Secondary Contact Person <br /> Address <br /> Telephone <br /> E-mail <br /> Requested Facility <br /> Required Attachments: <br /> ✓ List of organization Board of Directors <br /> ✓ Documentation of$1,000,000 liability coverage naming the City of Mason, its <br /> agents, officers, employees and volunteers as an additional insured. <br /> ✓ Verification in a resolution or letter acknowledging that the organization will <br /> abide by the policies and procedures in this manual. <br /> ✓ Verification of NYSCA training for Board of Directors and Coaches <br /> 13 <br />