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Shelter Permit Application

  1. Are any vendors providing services for your event?

  2. Waiver of Liability

    In consideration of you accepting my reservation for a City of Beavercreek Parks, Recreation and Culture facility, I hereby, for myself, my child, my heirs, executors and administrators, waive and release any and all rights and claims for damages I or my child may have or may acquire in the future against the City of Beavercreek, Beavercreek Township and its representatives, successors and assigns for any and all injuries suffered by myself or my child in connection with the said reservation(s). I do hereby grant and give these groups the right to use my or my child's photograph or image with or without my child's name, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of Beavercreek, Beavercreek Township and its representatives, successors and assign harmless of and from any and all liability of whatever nature which may arise out of or result from such reservation(s). For the consideration stated above, I further agree that in the event that my child repudiates or attempts to repudiate such release, I will personally indemnify and save harmless the City of Beavercreek Parks, Recreation and Culture Department, its successors and assigns, for any and all loss and damage occasion ed thereby.

  3. Terms & Conditions

    This Agreement, when signed by the applicant and a representative of the Beavercreek Parks, Recreation, and Culture Department constitutes a contract binding both parties to certain obligations.

  4. The applicant agrees to observe and obey all Parks Rules and Regulations. The City of Beavercreek agrees to maintain the facility, to assure that the facility is prepared properly for the agreed-upon event, and to provide adequate sanitation facilities, subject to available equipment, resources, weather conditions and time of year.

  5. By placing your name in this box you are signing this form and accepting both the waiver of liability and terms and conditions.

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  7. This field is not part of the form submission.