Laker Athletics Activity/Program Release and Waiver of Liability

External Organization Campus Space Use Agreement & Waiver of Liability Form
Carefully read and review Mid Michigan College's External Organization Campus Space Use Agreement & Waiver of Liability before signing. This is a legally binding agreement. By signing, you acknowledge that you are accepting responsibilities and assuming liabilities on behalf of your organization.
Organization Name*
Enter the full legal name of the organization.
Primary Contact Name*

First NameLast Name
Primary Contact Title/Role*
The Primary Contact should be the individual completing and signing this form.
Primary Contact Phone Number*

Area CodePhone Number
Primary Contact Email*
example@example.com
Organization Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Event/Activity Name*
Enter the name of the event as it is being promoted to the public.
Will minors (individuals under 18 years of age) attend your event?*

YesNo

Terms & Conditions
Use of Facilities
The College grants the Organization permission to use the campus space identified above for the date(s) and purpose stated, subject to the College’s policies and any applicable laws.

Insurance Requirements
The Organization agrees to provide a Certificate of Insurance naming Mid Michigan College as an additional insured. Coverage must include
- General Liability: Minimum $1,000,000 per occurrence
- Workers Compensation (if applicable)
- Auto Liability (if transporting participants)
Supervision & Safety
The Organization is solely responsible for the supervision and safety of all participants, staff, and volunteers involved in its event.

Media & Photography
Mid Michigan College considers events hosted on campus by external organizations to be public events, and therefore may capture images and footage where an individual is not the sole focus of the content without the need for releases or compensation to those who may be featured.

The external organization is responsible for obtaining all necessary releases from their participants, including minors, in accordance with their own policies and applicable laws. By signing below, you acknowledge and accept this responsibility on behalf of your organization and commit to informing your event participants.

Indemnification & Waiver of Liability
The Organization agrees to indemnify, defend, and hold harmless Mid Michigan College, its trustees, officers, employees, and agents from any and all claims, damages, injuries, or expenses arising from the Organization’s use of College facilities.

Damage to Property
The Organization is responsible for any damage to College property caused by its participants, guests, or affiliates.

Compliance with College Policies
The Organization agrees to comply with all applicable Mid Michigan College Policies, including but not limited to Campus Closure procedures, Expressive Activity guidelines, as well as safety, conduct, and facility use.
- This Agreement is governed by and construed under the laws of the State of Michigan without regard for principles of choice of law. Any claims, demands, or actions arising under this Agreement must be brought in a court with applicable subject matter jurisdiction sitting in the state of Michigan and Participating Organization consents to jurisdiction of a Michigan court with appropriate subject matter jurisdiction.
- Authorized Representative is duly authorized to execute this agreement and waiver on behalf of the Participating Organization, and the terms and conditions of this Agreement are binding on Participating Organization, its representatives, and assigns.
Cancellation
The College reserves the right to cancel or modify the event if it poses a health, safety, or security concern or if College operations require the space.
Participants Under the Age of 18

Participating Organization understands and acknowledges that participation in the Program is voluntary and that as a condition of the participation of Participating Organization and its children in the Program, that Participating Organization agrees to comply with all Program rules and requirements, including but not limited to
(1) providing written acknowledgement informing participants and their parents/legal guardians that the Participating Organization is responsible for the supervision of any student participating in the Program;
(2) ensuring that children in the Participating Organization are aware of the Program’s standards of conduct https://midmich.edu/policies/campus-related/children-on-campus; and
(3) immediately notifying the Program Administrator of any concerns related to the health, safety, or security of Participating Organization’s children, other participants, or staff.

Participating Organization agrees that adult chaperones from Participating Organization are responsible for the supervision of the children from Participating Organization during the Program, and must remain in the children’s general vicinity throughout the Program. Participating Organization agrees to indemnify, defend and hold the university harmless for any and all claims, causes of action, demands and damages arising out of or relating in any way to the program/activity.
Upload a Certificate of Insurance, which names Mid Michigan College as an additionally insured party. This is required for large events and your reservation will not be confirmed until this is received.

Browse Files
pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancelof
Acknowledgment & Signature*

I certify that I am an authorized representative of the above-named organization and that I have read, understand, and agree to the terms outlined in this agreement.
Primary Contact Signature*

Clear
Date*

MonthDayYear
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External Organization Campus Space Use Agreement & Waiver of Liability Form

Terms & Conditions