BUILDING AND GROUNDS USE CONTRACT
TOWN OF INDIAN LAKE RESERVATION REQUEST FORM
Name of Person Reserving Building,(please print name) __________________________
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.
G:\MUN\IND-LAKE\TOWN BOARD\Building and Grounds Agreement & Reservation Form revised 060112.doc