Wapsie Valley Community School District-FACILITY USE AGREEMENT FORMLiability Insurance Agreement • June 4th, 2021
The undersigned applicant makes an application for the use of the school facilities designated above. The applicant agrees to all restrictions regarding alcoholic beverages and smoking in school buildings and school grounds and regulations pertaining to no food or beverage in auditorium, gymnasium, and classroom areas. The undersigned agrees to indemnity and holds harmless the Board of Education, each individual board member, and all administrators and teachers, and all custodians against any and all claims, costs, suits, and other forms of liability and all court costs arising from the use of the buildings and/or facilities. The applicant agrees to pay all costs for any and all damages incurred during time of use of the facilities. The individual as representative of the above named group agrees to all conditions of the above statement. The organization will provide the District with a Proof of Insurance Coverage Certificate.
Liability Insurance AgreementLiability Insurance Agreement • September 7th, 2020
Please sign the following confirmation of liability insurance. If you fail to sign this acknowledgement, you will not be allowed to store personal property on CYC grounds or in the adjacent lake area.
CGCI Liability Insurance Agreement FormLiability Insurance Agreement • March 13th, 2020
• As the homeowner/renter, I have adequate insurance on the property and accept the potential liabilities ofhaving at my residence.
