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Download a Word Document copy of the APPLICATION FOR USE OF LIBRARY FACILITIES / GROUNDS HERE
APPLICATION FOR USE OF LIBRARY FACILITIES / GROUNDS
The undersigned, who represents that he/she is the agent of _______________________ is fully authorized to apply for use of Library facilities, does on behalf of said organization make application for use of:
_________________________________________________________________
(Building/Grounds) (Parts Thereof)
_________________________________________________________________
(Additional Needs)
between the hours of ____________ and ___________ on ______________________, 20______
This application is made to use the facility for __________________________________________
_____________________________________________________________________________
Number of participants ____ Age range ______ No. of Supervisors ______
CERTIFICATE OF INSURANCE
The Board carries insurance covering legal liability. The Board of Trustees assumes no liability of the lessee. The Board of Trustees requires that the lessee complete the Hold Harmless Agreement on the application.
HOLD HARMLESS AGREEMENT
The applicant does hereby covenant himself, his executors, and administrators and assigns that he will keep and save harmless, the Board of Trustees, their successors, occupancy of the application, including but not limited to property damage and/or personal injury.
The undersigned further acknowledges receipt of a copy of this application and agrees to comply with the conditions of use herein stated, as well as all rules and regulations of the Borough of Fanwood.
Approved_______ Denied________
_____________________________
Director
_____________________________
Signature of Agent
_____________________________
Organization
_____________________________
Address
_____________________________
Telephone
Board of Trustees
Approved: June 8, 2009
Revised:
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