School Facilities Rental And Use Agreement Form Page 2

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CHEHALIS SCHOOL DISTRICT #302
Hold Harmless Agreement-Use of Facilities
Regarding the use of any Chehalis School District facilities, I agree to the following terms and
acknowledge my acceptance of all conditions herein by my signature below:
I understand that my personal or group use of District facilities is possible only by permission of the
building principal (or principal’s designee) of the facility I wish to use. I also understand that permission
to use the facility does not imply a blanket approval, but rather is granted on a one-time-only basis, and
I must obtain the principal’s (or designee’s) approval each time I wish to use the facility, unless the
approval is expressly given for a specific period of time (as stated below under “Date or Period
Requested”) or for multiple dates which must be listed.
I shall be responsible for being in compliance with School District policies and for all persons
accompanying me during the use of District facilities. I agree that the Chehalis School District and
School District’s employees, directors, its officers and agents shall not be liable for any unlawful acts to
persons or for property loss by reason of negligent acts, be they intentional or unintentional, by myself
or those I invite to the facility. I agree to protect, hold harmless and indemnify the District, its
employees and Directors from all costs, claims, expenses, liabilities and/or suits arising out of my acts
to persons or damage to property occurring during my personal or group use of District facilities. I
understand and agree that permission to use facilities may be revoked or cancelled at any time with or
without cause, and I shall have no claim or right to damages or reimbursement for any loss or expense
resulting from such revocation or cancellation. I understand I shall be held solely responsible for any
damages to facilities resulting from my personal or group use and/or for any and all legal claims
brought by persons associated with, or effected by, my use of district facilities.
Print Applicant’s Name
Applicant’s Signature
Date
Facility Requested
Date or Period Requested
Principal’s (or Designee) Signature
Date Approved
Facility Rental Form
1 Copy to District Office
09-12-06
1 Copy to Custodian
1 Copy to Applicant

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