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Parks and Recreation Booking Form
Senior Center
INFORMATION ABOUT GROUP
Name of Organization
Applicant Name
(*)
Mailing Address
(*)
Mobile
(*)
Telephone (Day)
Telephone (Evening)
e-mail
(*)
INFORMATION ABOUT INTENDED USE OF MUNICIPAL FACILITIES
+ Add Booking
Date
(*)
From
To
-
Event Type
Private
Public
Purpose of use
Expected attendees
Adults
Children
UPLOAD FILES
+ Add File
(For Example: Insurance or other Documents if required).
File
RENTAL FEE
Resident Fee $0.00
NON-Resident Fee $0.00
Total Amount (To be Paid):
$
SERVICES & OTHER FEES
Note
TERMS AND CONDITIONS
Please do not use the kitchen or they maybe a fee to clean facility
AGREEMENT
By checking this box, you acknowledge that you have read and agree to the above stated conditions and further agree to obey all laws, rules, and regulations of all government authorities while using the facility.
The understanding is you are over 21 years of age and have read this form and the attached regulations and agree to comply with them.
You agree to be responsible to the City of Watervliet, and hereby covenant and agree to defend, indemnify and hold harmless the City of Watervliet from and against any and all liability, loss, damage, claims, or actions (including costs and attorney's fees).