PACT Application

Contact Information

1. What is the name of your Organization?

2. Are you a Prospective Organization or a Returning Organization?

Has anything changed since your 2023 Application? Please check all that apply.

Financial Representative
Organization Contact
Park District Liaison
Everything is the Same

Please enter the new contact information for the person who will serve as the Park District Liaison for the upcoming year. This is the person who will receive communication regarding PACT meetings, deadlines, updates, and other matters. *This question is required.

	Park District Liaison
	Phone Number
	E-mail Address

Please enter the contact information for the person who will serve as the Park District Liaison for the upcoming year. This is the person who will receive communication regarding PACT meetings, deadlines, updates, and other matters. *This question is required.

	Park District Liaison
	Phone Number
	E-mail Address

Please enter the contact information for the person who will serve as the Organization Contact for the upcoming year. This is another contact person in case we are unable to contact the Park District Liaison. *This question is required.

	Organization Contact
	Phone Number
	E-mail Address

Please enter the new contact information for the person who will serve as the Organization Contact for the upcoming year. This is another contact person in case we are unable to contact the Park District Liaison. *This question is required.

	Organization Contact
	Phone Number
	E-mail Address

Please enter the new contact information for the Financial Representative who will be responsible for payments and billing inquiries on behalf of your organization for the upcoming year. This person will serve as our contact for all financial matters for your group. *This question is required.

	Financial Representative
	Street Address
	City
	State
	ZIP
	Phone Number
	E-mail Address

Please enter the contact information for the Financial Representative who will be responsible for payments and billing inquiries on behalf of your organization for the upcoming year. This person will serve as our contact for all financial matters for your group. *This question is required.

	Financial Representative
	Street Address
	City
	State
	ZIP
	Phone Number
	E-mail Address