Building Use Policy's

Reservation Sign Out Form and Release of Liability Form

 

BUILDING AND GROUNDS USE CONTRACT

TOWN OF INDIAN LAKE RESERVATION REQUEST FORM

 

 

Today's date:_____________________________

 

Organization/Family_______________________________________________________

 

Name of Person Reserving Building,(please print name) __________________________

 

Signature________________________________________________________________

 

Address_________________________________________________________________

 

City_____________________State_________________Zip_______________________

 

Phone Number__________________Fax____________________Email______________

 

Type of Event:(ex.Meeting,Birthday Party,Private)_______________________________

 

Date of Event:_________Time of Event____________Time Reserved_______________

 

BUILDING REQUESTED (CHECK ALL THAT APPLY)

 

____Byron Park Building                  ________ Byron Park Pavilion    

 

____Ski Hut Rec. Building                ________Little League Field

 

_____ IL Beach Pavilion                  ________Blue Mt. Lake Beach Pavilion

 

_____Blue Mt. Lake Tennis Courts

 

Request taken by:_________________________________________________

Approved by: (if needed)______________________________________________

 

 

 

 ACCEPTANCE OF RESPONSIBILITIES AND RELEASE OF LIABILITY:

I have received a copy of the "Policies for Use of Town Facilities" and a copy of the "Rules and Regulations for Use of Town Facilities" and hereby agree to all requirements in both of them. I accept responsibility for cleaning up the Town facility(ies) by the time specified on this reservation form, and I confirm that I will be responsible for paying for repair of any and all damage done during the activity or event for which this reservation is made, and for promptly returning any keys issued for any Town facilities. I acknowledge, accept and agree with Paragraph # 2 of "Policies for Use of Town Facilities" stating that all Attendees attend and/or participate in the events, activities or uses for which this reservation is made entirely at their own risk and agree to indemnify the Town and hold it harmless against any and all such claims, damages, losses and expenses, including attorney's fees, as a result of any and all such use.

If signing on behalf of a group, organization or club, I hereby affirm that I am authorized to do so.

Signature:___________________________________________________________

G:\MUN\IND-LAKE\TOWN BOARD\Building and Grounds Agreement & Reservation Form revised 060112.doc

© 2017 Town Of Indian Lake, Hamilton County
Website Contact: Julie A Clawson
Email:
PO Box 730
Indian Lake , NY 12842
Phone: 518-648-5211
Fax: 518-648-6227
Printed On August 15, 2017