LONDONDERRY ATHLETIC ASSOCIATION - (Middletown, PA)

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* Name of requesting organization and team name/coach, i.e., LAA Midgets/Lewis:

* Phone # of requesting coach::

* Email address of requesting coach::

* Select the field you would like to reserve::

* Enter the date you would like to reserve the field::

Make this a recurring reservation every.....:

* Is this field request for a game or practice::

If practice how many hours will you use the field::

* What time does your game or practice start::

* Is this a make up game or a rescheduled game::

If a makeup game please enter the date it was originally scheduled and the field it was scheduled to be played on::

* indicates required fields