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2. TOWN OF MAMMOTH LAKES FACILITY RENTAL WAIVER
4. FACILITY USE RULES & REGULATIONS
6. Initial*
7. In case of emergency or for reasons beyond the Town’s control, the Town reserves the right to cancel the scheduled activity prior to scheduled use without liability. Refunds will be made if cancellation by the Town is necessary.
9. Initial*
10. Use of facilities and/or property for community-wide or Town purposes takes precedence over all other uses.
12. Initial*
13. Facility Use Applicant must be in attendance at all times facilities and/or property is in use, and shall not leave facility and/or property unattended at any time.
15. Initial*
16. I hereby attest that the information contained in this application is true and correct.
18. Initial
19. FOR TRACK & FIELD ONLY: I understand that under no circumstances will the following items be allowed or used on the track and field surface: food, gum, sunflower seeds or nuts with shells, metal cleats, sugar drinks (water is permissible), alcohol or tobacco (smoking or chewing), animals, barbeques, skateboards, bicycles, scooters or rollerblades, hitting of golf balls, or driving on the field or track.
21. Initial*
22. I also agree that I will: (1) be financially responsible for any costs incurred by the Town for damages to Town property; (2) be financially responsible to reimburse Town reasonable attorney fees to enforce the provisions of any consent that is issued for the activity described in this application; (3) forfeit all fees and deposits as partial compensation to the Town for any costs associated with the enforcement of the provisions of the application or reservation; (4) forfeit all fees and deposits if it is determined that I have provided false information on the application; (5) be financially responsible for any Town costs that exceed fees and deposits already collected by the Town for enforcement of provisions related to this application or reservation.
24. Initial*
25. All debris and trash must be removed from the permitted site immediately after the said activity. Failure to do so may require the Town to call upon the Public Works Department. All expenses will be the responsibility of the applicant.
27. Initial*
28. Town of Mammoth Lakes Municipal Code 12.20.400 prohibits the possession or consumption of alcoholic beverages except at a concession area duly authorized by the Town and properly licensed.
30. Initial*
31. I permit the Town to take photos of my event for purposes of advertising the facility.
33. Initial*
34. I will comply with all COVID-19-related rules and orders adopted or issued by the Town, Mono County, and/or the State of California, including limits on the number of users, physical proximity of users, and requirements for wearing masks.
36. WAIVER AND RELEASE AGREEMENT
    For an individual's use:

38. In consideration for being permitted by the Town of Mammoth Lakes to use the

39. "Facilities"*
41. I hereby waive, release, and discharge any and all claims for damages, death, personal injury or property damage which I may have against the Town, its officials, officers, employees, volunteers, and agents arising out of, related to, or in any way connected with the use of the Facilities, including without limitation claims arising from exposure to or infection with the COVID-19 virus. I further understand that accidents, injuries, and exposure to and infection with disease can arise out of use of the Facilities; knowing those risks, nevertheless, I hereby agree to assume those risks and to release and hold harmless the Town, its officials, officers, employees, volunteers, and agents who might otherwise be liable to me, my heirs or assigns. I further agree to indemnify, defend, and hold harmless the Town, its officials, officers, employees, volunteers, and agents from any and all claims resulting from damages, death, personal injury or property damage arising out of, related to, or in any way connected with the use of the Facilities. I further agree that I am solely responsible for reviewing and ensuring compliance with all applicable public health rules, regulations, orders, and/or guidance in effect at the time of the use of the facility including, but not limited to, physical distancing, limits on the size of gatherings, use of appropriate face masks/face coverings and sanitation practices, etc. TOML reserves the right to immediately revoke the right to use of the facility should I fail to comply with any provision of this section. I further understand that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. I HAVE READ THIS WAIVER AND RELEASE CAREFULLY. I UNDERSTAND AND VOLUNTARILY ASSUME THE RISKS INVOLVED.
43. Applicant Signature*
44. Date*
    Date
46. For an organization's use, also complete this second waiver and release agreement in addition to the waiver and release agreement above:
48. On behalf of myself and
50. ("Organization")
52. , I certify that I have read the Town of Mammoth Lakes Rules and Regulations for Use of Town Facilities related to the use of
54. ("Facilities")
56. "); that I and the Organization jointly and severally take full responsibility for seeing that the use of the Facilities by the Organization is in full adherence and compliance with these rules and regulations; that the Organization will indemnify, defend and hold harmless the Town, its officials, officers, employees, volunteers, and agents from any and all claims for damages, death, personal injury or property damage arising out of, related to, or in any way connected with the use of the Facilities by the Organization, including without limitation claims arising from exposure to or infection with the COVID-19 virus. I further agree that the Organization is solely responsible for reviewing and ensuring compliance with all applicable public health rules, regulations, orders, and/or guidance in effect at the time of the use of the facility including, but not limited to, physical distancing, limits on the size of gatherings, use of appropriate face masks/face coverings and sanitation practices, etc. TOML reserves the right to immediately revoke the right to use of the facility should the Organization fail to comply with any provision of this section. I HAVE READ THIS WAIVER AND RELEASE CAREFULLY. I UNDERSTAND AND VOLUNTARILY ASSUME THE RISKS INVOLVED.
58. Applicant Signature
59. Date
    Date
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63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit

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