Required Below. The consequence of not following the Xxxxxxxx Park District’s (APD) All Weather Fields Rental Agreement and Policies may result in the loss of your deposit and/or your event being cancelled early or completely. • My signature below signifies that I am at least 18 years of age and that I have read and understand the rental policies/rules outlined on pages 1 through 6. • My signature below signifies that I am an authorized official of the organization submitting this application and that I have the authority to legally bind the organization to the following. • I agree on behalf of myself and my organization to accept responsibility for all of the conditions of this application, all of the conditions of any permit(s) issued based upon this application, and to abide by all the APD Rules and Regulations, and Rental Agreement and Policies pertaining to use of the All Weather Field. • I also agree to pay the APD all costs the Park District may incur as a result of any failure to fully comply with all these conditions. • I, and my organization, agree to voluntarily release, discharge, waive, and relinquish the APD from any and all actions or causes of action for personal injury (including death) or property damage occurring to anybody arising as a result of my or my organization’s use of the All Weather Field. • I, and my organization, agree that under no circumstances, except those circumstances caused by the sole active recklessness or willful misconduct of the APD, will I, my organization, or any heirs, executors, administrators and assigns prosecute or present any claim of personal injury (including wrongful death) or property damage against the APD or any of its officers, agents, servants, or employees arising as a result of me or my organization’s use of the All Weather Field. • For all events held at the APD, renters are required to name Xxxxxxxx Park District as a certificate holder to their insurance. The certificate with APD being named must be mailed to: Xxxxxxxx Park District, Attn: Fields, 0000 Xxxxxxxxx Xxx., Xxxxxxxxxx, XX 00000. Failure to obtain proper insurance can result in cancellation of event and forfeiture of all fees. • I declare that the information contained in this Field Request Form is true and correct to the best of my knowledge. I further acknowledge that the rental deposit may be forfeited and/or my event may be cancelled if this application contains any intentional misrepresentations.
