Disclaimer
Please read carefully

Release:  In consideration of being allowed the use of any City of Mt. Washington Property, I understand and agree to this release of liability, waiver of legal rights, and assumption of risk and to the terms hereof as follows:
Renter agrees to and shall indemnify, defend and hold the City, City’s successors and assigns, and the officers, employees, agents, and contractors of the City, harmless from and against any and all claims, actions, administrative proceedings, judgments, damages, punitive damages, penalties, fines, and costs that arise directly or indirectly from or in connection with Tenants’ use of the Premises, breach of this Lease, and/or any violation of governmental or insurance requirements of Tenants, provided that such indemnity shall not extend to matters that arise out of the gross negligence or willful acts of the City.

I further represent that I am at least 18 years of age, I waive and release any and all legal rights that may accrue to me as the result of any injury I may suffer while on City Properties.


If the above guidelines are not followed the City of Mt. Washington Parks Director reserves the right to terminate the participant's right to use the facilities without refund. 
 
I have read the document herein in its entirety and agree to fully comply with all guidelines stated above. I understand as the responsible adult or coach for my team or organization I am responsible for all participants within my team or organization.    
 
 
Name of Team/Organization: _______________________________


Name of Responsible Adult or Coach: _________________________

 
                                                                                    ________________________________
Signature
 
                                                                                     ________________________________
Parks Director, City of Mt. Washington