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2. Renter's First Name*
3. Renter's Last Name*
5. Phone Number
6. Email Address*
8. Location of Rental*

   1. MAC
   2. Pavilion
   3. Field
   4. Tennis Court
9. Date of Rental*
   Date of Rental
11. Rental Permit Number
    Enter your rental permit number. This is located in the top right corner of your permit.
13. Reason for canceling rental:*
15. Rental Cancellation Policies
17. - Cancellation of a rental at the MAC after the agreement is signed, deposit made and fees paid, will be subject to a $25 handling fee.
19. - If a park rental is being canceled in advance of the rental date, the original permit must be returned or destroyed.
21. - If a park rental needs to be canceled due to weather or schedule conflicts, the renter must contact the Mansfield Activities Center by the next business day following their rental date to reschedule or request a refund.
23. - Refunds are requested weekly and will be returned by check if payment was made with cash or check or returned to the credit card that made payment.
25. Rental Cancellation Policies

    1. Cancellation of a rental at the MAC after the agreement is signed, deposit made and fees paid, will be subject to a $25 handling fee.
    2. If a park rental is being canceled in advance of the rental date, the original permit must be returned or destroyed.
    3. If a park rental is being canceled in advance of the rental date, the original permit must be returned or be destroyed.
    4. Refunds are requested weekly and will be returned by check if payment was made with cash or check or returned to the credit card that made payment.
27. 1. I understand and agree to the Rental Cancellation Policies above.
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field