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City of Taylor
Taylor, MI 48180
Please complete this form by signing in the respective field. Once signed please deliver or mail to the Parks & Rec Department at City Hall.
No hard liquor is allowed in any park.
With live entertainment you are also required to submit a special event application which is found on the Parks & Rec Form page.
With mechanical amusement devices you are required to provide an insurance certificate.
You are allowed to bring in additional chairs and /or tables.
I understand that by signing this document, I certify that I am responsible for said group activity. I also understand that the rental fee is NON- REFUNDABLE.
I understand that should there be any damage to the property caused by said group, I am responsible for full repair or replacement costs of damaged property. If the City should be required to clean the site, I shall forfeit my $100.00 security deposit. I further certify that I have read and understand the pavilion rental policies listed on the reverse and agree to abide by said policies.
WAIVER, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT
In consideration of the City of Taylor allowing me and my group to use its equipment, facilities and services, in park designated above, I agree and recognize as follows:
That myself and my groups participation is completely voluntary and I have familiarized myself with the activities in which I and my group will be participating and any rules, regulations and procedures that are involved.
That I am aware that certain hazards, risks and dangers are inherent and present in the activities in which I and my group will be participating and in the equipment, facilities and grounds I and my group will be using and I acknowledge that although the City of Taylor has taken measures to minimize the risk of injury to me and my group, the City of Taylor cannot and does not insure nor guarantee that the participants, equipment, facilities, grounds, and/or activities will be free of hazards, accidents and/or injuries. I agree and recognize that my and my group’s participation in such activities and/or use of such equipment, facilities and grounds may result in injury, illness or death and I agree to assume all risks and dangers and all responsibility for any losses, damages, and injuries arising out of my and my groups participation in activities in park checked above and/or the use of any equipment, facilities, servicing and/or grounds at the parks.
That on behalf of myself and my group, I agree to release, waive and discharge any and all liability against the City of Taylor and their agents and employees, and to hold harmless, indemnify and defend the City of Taylor and their agent, officers, officials, employees and volunteers from and against any and all claims, actions, losses, liabilities, injuries, damages, wrongful death, fee, expenses and attorney fees, which may arise out or be related to myself and my groups participation in the above described activities and/or the use of any equipment, facilities and/or grounds in park designated above in the City of Taylor, whether or not caused in whole or in part by the negligence and/or gross negligence of the owners, agents, employees, officers, officials and/or volunteers of the City of Taylor.
THE ABOVE WAIVER, RELEASE AND INDEMNITY AGREEMENT HAS BEEN READ BY ME AND BY SIGNING THIS AGREEMENT I ACKOWLEDGE THAT I UNDERSTAND AND AGREE TO BE BOUND BY ITS TERMS.
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