Form Center

2. Indoor Facility Rental Form
4. Name*
5. Email Address*
7. Address*
9. City
10. State
11. Zip Code
13. Phone Number*
15. Date*
    Date

    Date
16. Indoor Facility*
    -- Select One --West Bank Reception HallConvent Community Center
18. Special request/instruction
20. Agreement of Responsibility

    I agree to abide by all rules set by the Parish of St. James Parks and Recreation Division and within this agreement. I agree that I will be responsible for the conduct of my group, which has been granted the use of the above-named facilities, and shall conform to the official operating policies as established by the Parish of St. James, and the Parks and Recreation Department. I further agree to reimburse the Parish of St. James in full for the fee as agreed upon for the use of a park facility as well as any and all damage to the park facility. This includes but is not limited to; defacing of property, buildings or structures, or the natural state of the facility or park; failure to fully clean the facility, as assessed by the Parish of St. James Parks and Recreation Division through its agents or employees following my use of the facility. 

22. Waiver of Rights to Claims Based on Negligent Acts

    Waiver of Rights to Claims Based on Negligent Acts EXPLANATION This document is an agreement between you, the undersigned, and the Parish of St. James Parks and Recreation Division. It states that you will hold the Parish of St. James, the Parish of St. James Parks and Recreation Division, any recreation advisory board, and all of the named agents or employees entirely harmless and free of liability for any and all negligent acts. You have the opportunity, if you wish, to speak with a representative of the Parish of St. James Parks and Recreation Division for further explanation of the terms contained herein before signing. AGREEMENT I, the undersigned, hereby agree to relinquish all claims, suits, attorney fees, damages, liability and any and all future rights to the same based on any and all negligent acts of the Parish of St. James, the Parish of St. James Parks and Recreation Division, any Parks and Recreation Advisory Board, and any and all of the named agents and/or employees in connection with or incident to myself or my group’s use of any of the Parish of St. James park facilities as enumerated on the attached Parish of St. James Parks and Recreation Division Facility Permit. I, the undersigned, herby acknowledge and agree that I have carefully read and fully understand the terms of this Waiver of Rights to Claims Based on Negligent Acts, and that I have been afforded an opportunity to request further explanation of the terms of this Wavier of Rights to Claims Based on Negligent Acts with regard to facility management. After acknowledging the same, I am now freely and voluntarily signing the Wavier of Rights to Claims Based on Negligent Acts without any alteration of its original, printed, terms. 

24. Ordinance and Permit
    Full contract
26. E-Signature*

    1. I read, understand, and agree to the terms and conditions and agreement of responsibility
28. I agree to pay the $300 rental fee for an indoor facility

    1. Yes
    2. No
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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