Facility Request Application Form

FACILITY REQUEST APPLICATION FORM

RECITALS

WHEREAS, Applicant Name: (the "Applicant"), seeks permission to use certain facilities and services owned or operated by Facility Owner: (the "Facility Owner"); and

WHEREAS, the Facility Owner is willing to permit use of the designated facility on the terms and conditions set forth in this application and resulting permit or agreement;

NOW, THEREFORE, Applicant submits this application and agrees to be bound by the terms, conditions, fees, and certifications set forth below.

APPLICANT INFORMATION

FACILITY & EVENT DETAILS

Requested Event Date(s): From to .

Requested Time: Setup Begins Event Starts Event Ends Teardown Completed

SCOPE OF WORK

Provide a detailed description of activities, setup, performances, vendors, contractors, staging, and any operations that will take place on the premises. The Applicant is responsible for any third-party contractors they engage and must disclose their use here.

SERVICES, EQUIPMENT & SAFETY

Audio/Visual Required: Yes No

Security / Crowd Control Requested: Yes No

INSURANCE, PERMITS & COMPLIANCE

Unless waived in writing, Applicant shall, at its sole cost and expense, procure and maintain insurance and all permits required by law. Applicant certifies the following insurance information:

PAYMENT TERMS

Applicant agrees to pay all fees, deposits, and costs associated with the use of the facility as set forth below. Fees are nonrefundable except as expressly provided in the Termination provisions.

TERM AND TERMINATION

This Agreement commences on Start Date: and continues through End Date: unless terminated earlier in accordance with this Agreement.

Either party may terminate for cause upon written notice to the other party. For convenience, either party may terminate upon Notice Period (days): days' prior written notice. Termination does not relieve Applicant of obligations incurred prior to termination, including payment for services rendered.

CONFIDENTIALITY

Applicant and Facility Owner acknowledge that in connection with the use of the facility, one party may disclose confidential information. Each party agrees to hold in confidence and not disclose such confidential information except as required by law or with prior written consent. Confidential information does not include information that is or becomes publicly available through no wrongful act of the receiving party.

INDEMNIFICATION AND LIABILITY

Applicant agrees to indemnify, defend, and hold harmless the Facility Owner and its officers, agents, and employees from and against any and all claims, losses, liabilities, damages, costs, and expenses (including reasonable attorneys' fees) arising out of Applicant's use of the facility, acts or omissions of Applicant, its agents, contractors, invitees, or attendees, except to the extent caused by the gross negligence or willful misconduct of the Facility Owner.

GOVERNING LAW & ENTIRE AGREEMENT

This Agreement shall be governed by and construed in accordance with the laws of State: . This document, together with any attachments and approved permits, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior negotiations, representations, or agreements, whether written or oral.

CERTIFICATIONS & ACKNOWLEDGMENTS

By submitting this application, Applicant certifies that the information provided is true and complete, that Applicant has the authority to bind the organization, that Applicant will comply with all facility rules and applicable laws, and that Applicant accepts responsibility for costs arising from damage or additional cleaning attributable to the event.

ADDITIONAL INFORMATION

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