Field Rental Payment Form

Rentals at the Massachusetts Youth Soccer Fields at Progin Park in Lancaster, MA are accomplished through our Events and Programs Coordinator, Lori Jimenez. This form must be used for the payment of Field Rental fees only. Should you have any questions about field rentals at our complex please contact Lori Jimenez.

Organization *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Invoice Number *

Amount Due (Please use numbers only in xx.xx format, no $ sign) *