Appendix F

Morrisville Public Library
Program Room Contract
Approved by the Library Board of Trustees July 19, 2012

PLEASE PRINT

Name_________________________________________________________________

Nature/Purpose of Meeting_______________________________________________

Contact Person/Title/Phone Number_______________________________________

Date of Meeting________________________________________________________

Set Up Time_____________________ Meeting Start Time______________________

Meeting End Time____________________ Expected Attendance_______________

I certify I have read the Morrisville Public Library program room policy and that
the organization for which I am the responsible representative will abide by the provisions
of that policy.  ADDITIONALLY BY SIGNING THIS, I AGREE TO ATTEND THE EVENT AND BE
RESPONSIBLE FOR THE FACILITIES.

Signature: _________________________________________________

Title:____________________________________________           Date:____________________________

RELEASE, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT

(Organizational Representative)______________________________________  agrees to release, hold harmless and indemnify the Morrisville Public Library and its officers, employees and volunteers, from and against all claims, damages, losses and expenses, including, but not limited to, attorney’s fees, arising out of or resulting from the (i) conduct or use of the premises by the undersigned or the undersigned’s organization or group, (ii) any act, omission, or negligence of the undersigned or the undersigned’s organization or group, or the partners, directors, officers, agents, employees and other users and invitees of the undersigned or the undersigned’s organization or group, and (iii) any accident, injury, or damage whatsoever occurring in or at the premises while the undersigned or the undersigned’s organization or group is using the facilities.

Dated this ___________ day of ______________________________ 20________.

By: ___________________
(your signature)

Your title:____________________________

Library Use Only
__________________________________________________________________________

Library Manager Initial’s __________ Date:_____________________

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