Authorization, Release And Hold Harmless AgreementPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Lawrence Township Board Of Trustees, Stark County, Ohio Organization or Individual * Authorization, to of Name *FirstLastEmail *EmailConfirm EmailPhone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Pavilion Rental *The Organization/Individual assumes responsibility for the condition of the Township Park or Other premises and shall, at the conclusion of such use, leave the premises in clean and undamaged condition. Any furniture or equipment used in connection with such use shall be returned to their original locations if moved during the use. Any trash or debris shall be removed or placed in proper receptacles. In consideration of this authorization, the Organization/Individual, on behalf of itself, its members and participants, hereby releases and agrees to indemnify, save and hold harmless the Board, Lawrence Township, Ohio, its agents, officials, officers, and employees, from any and all liabilities, losses, claims, demands, actions, or proceedings which may arise out of the use of the Park or Other facility and participation in the Organization’s activities and events. *I agree to abide by the park rules and regulations.I understand that I am responsible for any damage to park property during the reservation period.I agree to clean up the pavilion area after use and dispose of any trash properly.I understand that my reservation might be canceled or that additional fees could apply for non-compliance.I agree to the Authorization, Release And Hold Harmless Agreement *Yes, I agreeSignature * Clear Signature Name of signatory *Date *Custom Captcha * = Submit
