City of Watervliet | MUNICIPAL FACILITIES

Parks and Recreation Booking Form

The Dome

Room/Court

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

Event Type Private Public
Purpose of use
Expected attendeesAdults Children

UPLOAD FILES

+ Add File

(For Example: Insurance or other Documents if required).

File

RENTAL FEE

Resident Fee $50.00
NON-Resident Fee $100.00

Total Amount (To be Paid): $

SERVICES & OTHER FEES

Note

TERMS AND CONDITIONS

Insurance Documents are Required. Please make sure to submit a copy. However, you still can submit your application now and then go to edit to upload the missing documents anytime (before the due date).

Rental Sports Safety Policies and Procedures Packet Acknowledgements

The purpose of this acknowledgement form is to confirm that you, the renter, have read and understand the information provided to you by the City of Watervliet related to potential concussions/head injuries and child abuse occurring during participation in athletic activities.

Concussion and Head Injury

We, , ( RENTING ORGANIZATION ),

who is renting THE WATERVLIET DOME ( 1300 2nd Ave, Watervliet, NY 12189) and participating in athletic activities during our rental time have read the informational material provided to us by THE CITY OF WATERVLIET related to head injuries occurring during athletic programs and understand the content and warnings.

Additionally, we agree to distribute the informational materials to the athletes for which we are renting the space.

Child Sports Abuse Prevention Policy

Child Abuse Prevention

We, , ( RENTING ORGANIZATION ),

who is renting THE WATERVLIET DOME ( 1300 2nd Ave, Watervliet, NY 12189) and participating in athletic activities during our rental time have read the informational material provided to us by THE CITY OF WATERVLIET related to the prevention of child abuse during athletic programs and understand the content and warnings.

Additionally, we agree to distribute the informational materials to the athletes for which we are renting the space.

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).