Brewbaker Concession Key Issue

(Please print legibly except for signature line)

Name: _________________________________________________

Address: ____________________________________________________

Home Phone: ___________   Work Phone: _____________  Cell: ______________

I understand that issuance of this key allows me access to the concession area at Brewbaker Field as approved through The City of Lexington, RARO Board of Directors and/or staff and that I will return the key after approved usage is completed. I will also provide an accounting for the RARO Board of monies raised.

Designated program money is being raised for: _______________________________

Signed: __________________________________________   Date: ________________

Below for Office Use Only:

Staff Member issuing key(s): ____________________________________________

Date: _________________    Reason for issue: _____________________________

Number of Keys Issued: ________

Date to be Returned: _________________________________________

Staff: After form is signed and key issued, please make a copy for the person issued the key(s)

REFERENCE: BREWBAKERKEYISSUE