Hold Harmless Agreement
In Consideration of University City United Methodist Church making facilities or services available for the following activity(ies), event(s), gathering(s), and/or meeting(s), we the requesting organization and participant, hold UCUMC harmless and exonerated from any liability which might arise from the use of the premises, including, but not limited to the facility, parking lot, sidewalks, access and egress points, tools, and equipment. We further agree to be subject to all fees and regulations regarding the use of your facility and policies applicable to all services offered.
Group or Organization Name
*
Contact and Authorized Representative
*
First Name
Last Name
Contact and Authorized Representative Email
*
example@example.com
Event Start Date
*
-
Month
-
Day
Year
Date
Event End Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Submit
Should be Empty: