Common use of Single Day Use Clause in Contracts

Single Day Use. Exclusive Use of Facility (No other groups will be scheduled during your time) $1,200 per day _ Single Day Use—Non-Exclusive Use (Other Groups may be scheduled during your time) Please check all needed facilities below: Dining Hall (No Use of Kitchen) Multipurpose Shelter House Campfire Area Fishing Dock & Area (Lifejackets Required for all people on any docks) Other: Swimming Pool—Will you provide your own lifeguards? Canoes/Kayaks—Will you provide your own lifeguards? Low Ropes —Will you provide your own facilitators? High Ropes —Will you provide your own facilitators? Yes Yes Yes Yes No Time & Day: No Time & Day: No Time & Day: No Time & Day: As the person submitting this application for the group named above, I have read and agree to follow the attached Group Rental Guidelines and Rules. Furthermore, I assume responsibility for supervision of the group, its behavior, and any specialized recreation activities. I will provide orientation to the camp’s safety procedures and regulations as outlined in the attached Guidelines and Rules and the Rental Group Information Booklet. We understand that there are inherent risks involved in the use of this facility in an outdoor setting. We release the University of Kentucky, 4-H, its members, trustees, officers and employees from any liability for accidents or injury that any of our group may experience while renting the facility. Educational programs of Kentucky Cooperative Extension serve all people regardless of economic or social status and will not discriminate on the basis of race, color, ethnic origin, national origin, creed, religion, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information, age, veteran status, or physical or mental disability. Signing this rental form is indicative of your compliance with these regulations. Signature of Group Leader: Date: Signature of Supervising Agent (for Extension Sponsored Event) Date:

Single Day Use. Exclusive Use of Facility (No other groups will be scheduled during your time) $1,200 1200 per day _ Single Day Building Use—Non-Exclusive Use (Other Groups may be scheduled during your time) Please check all needed facilities below: Dining Hall (No Use of Kitchen) Multipurpose Multiplex & Kitchen Shelter House Campfire Area Activities Lake Fishing (shared shore fishing at no charge, for Fishing Dock, see below) Program Bunker/Meeting Area Swimming Pool— #of Swimmers: Date: Start Time: End Time: Canoes/Pedal Boats—(Lifejackets Provided) Date: Start Time: End Time: Low Ropes —(Recommended Group Size 8-14) Date: Start Time: End Time: High Ropes— (20 Participants in 2 Hours) Date: Start Time: End Time: Fishing Dock & Area - (Lifejackets Required for all people on any docks) Other: Swimming Pool—Will you provide your own lifeguards? Canoes/Kayaks—Will you provide your own lifeguards? Low Ropes —Will you provide your own facilitators? High Ropes —Will you provide your own facilitators? Yes Yes Yes Yes No Time & Day: No Time & Day: No Time & Day: No Time & Day: - Maximum 40 people Extras (Please check all requested add-ons below:) Slushy Machine Early Set Up Photo Session (Only available in areas not rented by other groups) As the person submitting this application for the group above named abovegroup, I have read and agree to follow the attached Group Rental Guidelines and Rules. FurthermoreFurther- more, I assume responsibility for supervision of the group, its behavior, and any specialized recreation activities. I will provide orientation to the camp’s safety procedures and regulations as outlined in the attached Guidelines and Rules and in the Rental Group Information Booklet. We understand that there are inherent risks involved in the use of this facility in an outdoor setting. We release the University university of Kentucky, 4-H, its members, trustees, officers and employees from any liability for accidents or injury that any of our group may experience while renting the facility. Educational programs of Kentucky Cooperative Extension serve all people regardless of economic or social status and will not discriminate on the basis of race, color, ethnic origin, national origin, creed, religion, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information, age, veteran status, or physical or mental disability. Signing this rental form is indicative of your compliance with these regulations. Signature of Group Leader: Date: Date Received Date Approved Deposit Check Number Amount Signature of Supervising Agent (for Extension Sponsored Event) Date:: OFFICIAL USE ONLY: We do not provide insurance for outside groups. This is the outside group’s responsibility. Is your group covered by short term event insurance or other insurance? YES NO *We advise your group to identify at least one person who is CRP/First Aid certified (from a nationally recognized provider) to be on call for emergency care while on the property. Name of Group: Dates of Use: Name of Responsible Person: Please initial here to indicate that you have read and agree to adhere to these Rules and Regulations as found in this User Agreement. Your full signature should be provided on Page One (1) of this application.

Single Day Use. Exclusive Use of Facility (No other groups will be scheduled during your time) $1,200 per day _ Single Day Use—Non-Exclusive Use (Other Groups may be scheduled during your time) Please check all needed facilities below: Dining Hall (No Use of Kitchen) Multipurpose Shelter House Campfire Area Fishing Dock & Area (Lifejackets Required for all people on any docks) Other: Swimming Pool—Will you provide your own lifeguards? Canoes/Kayaks—Will you provide your own lifeguards? Low Ropes —Will you provide your own facilitators? High Ropes —Will you provide your own facilitators? Yes Yes Yes Yes No Time & Day: No Time & Day: No Time & Day: No Time & Day: As the person submitting this application for the group above named abovegroup, I have read and agree to follow the attached Group Rental Guidelines and Rules. FurthermoreFurther- more, I assume responsibility for supervision of the group, its behavior, and any specialized recreation activities. I will provide orientation to the camp’s safety procedures and regulations as outlined in the attached Guidelines and Rules and in the Rental Group Information Booklet. We understand that there are inherent risks involved in the use of this facility in an outdoor setting. We release the University of Kentucky, 4-H, its members, trustees, officers and employees from any liability for accidents or injury that any of our group may experience while renting the facility. Educational programs of Kentucky Cooperative Extension serve all people regardless of economic or social status and will not discriminate on the basis of race, color, ethnic origin, national origin, creed, religion, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information, age, veteran status, or physical or mental disability. Signing this rental form is indicative of your compliance with these regulations. Signature of Group Leader: Date: Signature of Supervising Agent (for Extension Sponsored Event) Date: Date Received Date Approved Deposit Check Number $100day $200overnight CAMP DIRECTOR USE:

Single Day Use. Exclusive Use of Facility (No other groups will be scheduled during your time) $1,200 950 per day _ day/ $225 Deposit Single Day Use—Non-Exclusive Use (Other Groups may be scheduled during your time) Please check all needed facilities below: Dining Hall (No Use of Kitchen) Multipurpose Multiplex Shelter House Campfire Area Fishing Dock & Area (Lifejackets Required for all people on any docks) Other: Swimming Pool—Will you provide your own lifeguards? Canoes/KayaksPedal Boats—Will you provide your own lifeguards? Low Ropes —Will you provide your own facilitators? High Ropes —Will you provide your own facilitators? Yes Yes Yes Yes No Time & Day: No Time & Day: No Time & Day: No Time & Day: As the person submitting this application for the group above named abovegroup, I have read and agree to follow the attached Group Rental Guidelines and Rules. FurthermoreFurther- more, I assume responsibility for supervision of the group, its behavior, and any specialized recreation activities. I will provide orientation to the camp’s safety procedures and regulations as outlined in the attached Guidelines and Rules and in the Rental Group Information Booklet. We understand that there are inherent risks involved in the use of this facility in an outdoor setting. We release the University of Kentucky, 4-H, its members, trustees, officers and employees from any liability for accidents or injury that any of our group may experience while renting the facility. Educational programs of Kentucky Cooperative Extension serve all people regardless of economic or social status and will not discriminate on the basis of race, color, ethnic origin, national origin, creed, religion, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information, age, veteran status, or physical or mental disability. Signing this rental form is indicative of your compliance with these regulations. Signature of Group Leader: Date: Signature of Supervising Agent (for Extension Sponsored Event) Date: Date Received Date Approved Deposit Check Number Amount CAMP DIRECTOR USE: