Apply to protect

About your green space

Green space name

Local or unofficial name (if different to above)

Size in hectares

Size in acres

Is the green space held charitably?

Yes

No

If a registered charity, please state its charity number

Address of green space

If other

Why are you protecting the green space?

It is or has been under threat

It is part of a strategic plan to protect a range of green spaces

To create a local legacy

To help to build community cohesion

To encourage people to live healthier lives

To ensure our community will always have a green space

Request from the space's users/friends/community group

Other (please specify)

If Other

Is the green space registered land?

To progress your application, we will require evidence of title, a plan of the site and copies of any leases or other formal agreements if applicable. To get started please tell us if the land is registered at the relevant Land Registry.

Yes

No

Registered Land Group

Land registry number(s)

Details of leased areas to be included (if applicable)

If any part(s) of the land or facilities you wish to protect is leased please provide details, e.g. pavilion.

Leaseholders' name(s) (if applicable)

Please tick all documents that you will be providing at the end of the application.

Register of Title (dated within the past twelve months)

You should submit up to date copies of the Register of Title (Folio in Northern Ireland) and Title Plan with your application. We need recent copies so that we can see the current picture for the land. Current copies can be purchased for a nominal fee from the relevant Land Registry: England and Wales,Scotland or Northern Ireland

Title Plan

If you are unable to upload title information with your application please indicate why and state when you expect to have this information available

Title Plan area to be protected outlined in colour (if different from Title Plan)

If you do not wish to protect all of the land on the Title Plan, please provide a copy of the Title Plan clearly outlining in coloured ink the area you wish to protect.

Copy of lease(s) (if applicable)

Evidence of authorisation to protect your space

In submitting an application to protect a green space you will need to have first obtained any necessary internal approvals, e.g. if you are a local authority you will probably have obtained approval from a Council or Committee meeting or from another delegated authority. Please tick here if you are providing a copy of the Meeting Minute approving the proposal to protect your green space(s). If the approval is by way of another delegated authority, please provide written confirmation from the representative with authority to approve the proposal.

Registered Land - No

Details of leased areas to be included (if applicable)

If any part(s) of the land or facilities you wish to protect is leased please provide details, e.g. pavilion.

Leaseholders' name(s) (if applicable)

Please tick all documents that you will be providing at the end of the application.

Root of Title, e.g. conveyance

If the land is unregistered the root of title confirming your ownership may be in the form of a Conveyance, a Deed of Gift or similar and will include a plan of the land that you own. If you have a lease of 99 years or longer you will need to provide us with a copy.

If you are unable to upload title information with your application please indicate why and state when you expect to have this information available

Plan of the space, with the area to be protected outlined in colour

Copy of lease(s) (if applicable)

Evidence of authorisation to protect your space

In submitting an application to protect a green space you will need to have first obtained any necessary internal approvals, e.g. if you are a local authority you will probably have obtained approval from a Council or Committee meeting or from another delegated authority. Please tick here if you are providing a copy of the Meeting Minute approving the proposal to protect your green space(s). If the approval is by way of another delegated authority, please provide written confirmation from the representative with authority to approve the proposal.

Landowner details

Landowner contact

Organisation name

Contact name

First Name

Last Name

Position held

Contact address

Address

Address 1

City

Postal Code

Contact Email address

Telephone number

Organisation website

Additional contact (if applicable)

Organisation name

Contact name

First Name

Last Name

Position held

Contact address

Address 1

City

Post Code

Email address

Telephone number

Organisation website

Legal agent/representative (if different to above)

Organisation name

Contact name

Position held

Contact address

Address 1

City

Post Code

Email Address

Phone Number

Organisation website

Please confirm the main contact

User groups and organisations

Please detail the Friends of group (if applicable) and any group/organisation/club/school which has a formal agreement on any part of the area that is to be protected.

Please ensure you have the named person(s)'s formal consent to share their details in this section.

Friends of group

Group name

Contact

First Name

Last Name

Position held

Email address

Website

Agreement in place - other

Agreement expiry date(s)

Area(s) of green space used

Additional organisation

Add another organisation

Description

Description of the green space

Activities and facilities

Activities

Please tick any of the following activities which take place on the green space:

Sport - Other

Nature - Other

Play - Other

Facilities

Please give the number of any of the following facilities which appear on the space. If the facility is not present then leave blank.

Sport

Facility	Number of Facilities
Grass football pitch(es)
Grass rugby pitch(es)
Artificial sports pitch(es):
Tennis court(s)
MUGA(s)
Cricket square(s)
Athletics track(s)
Bowling green(s)
BMX/bike track(s)
Outdoor gym(s)
Outdoor lido(s)

Nature

Facility	Number of Facilities
Pathway(s)
Community garden(s)
Conservation area(s)
Nature trail(s)
Woodland(s)
Woodland trail(s)
Pond/lake/water feature(s)
Wildflower meadow(s)
Water meadow(s)
Sensory garden(s)

Play

Facility	Number of Facilities
Play area(s)
Equipped play area(s)
Adventure play area(s)
Organised climbing area(s)
Interactive play area(s)

Buildings

Facility	Number of Facilities
Pavilion(s)
Changing room(s)
Hall(s)
Café(s)
Green house(s)
Conservation centre(s)
Information/visitor centre(s)
Toilet block(s)
Commercial building(s)

Please provide your files

Please provide us with the following documentation:

Register of Title (dated within the past twelve months)

Title Plan

Title Plan area to be protected outlined in colour (if different from Title Plan)

Copy of lease(s) (if applicable)

Evidence of authorisation to protect your space

Root of Title, e.g. conveyance

Plan of the space, with the area to be protected outlined in colour

Copy of lease(s) (if applicable)

Evidence of authorisation to protect your space

Your uploads

To help us, please title your documents clearly.

If you are unable to upload your documents, please use our dedicated WeTransfer link to transfer these documents to us directly and for free.

If you are having any issues with uploads or WeTransfer, you can also email documentation to info@fieldsintrust.org. If doing so please clearly mark your subject line with the name of the green space you are applying to protect.

Formal declaration

In submitting an application you are confirming that the information is correct to the best of your knowledge and you will sign the Deed of Dedication (or Minute of Agreement in Scotland) within six months (excepting any extenuating circumstances) of us confirming that your green space is eligible for protection. You also confirm your acceptance that whilst Fields in Trust does not charge a fee to protect a green space, should you submit an application and subsequently fail to complete the protection process Fields in Trust reserve the right to charge you for costs incurred.

I agree