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2. Group, Team or Event Name:
4. Type of Event:
6. Name
7. Email Address
9. Address
11. City
12. State
13. Zip Code
15. Phone Number
17. Season Start Date:
    Season Start Date:
18. Season End Date:
    Season End Date:
19. Days of the Week:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday

    1. Friday
    2. Saturday
    3. Sunday
21. League:

    1. Youth
    2. Adult
22. Field Reserved:

    1. S-1 (Star Park)
    2. S-3 Hanadori Trail
23. Total Games/Practice

    Adult Games $45 per game - Adult Practice $25 for 2 hours

    Youth Games $25 per game - Youth Practice $25 for 2 hours

24. Total hours for lights:

    Lights $25 per hour (from base ball fields)

26. Total amount due:

    Total amount due all games, practices with or without lights.

28. INSURANCE REQUIREMENTS:

    Renter agrees to obtain and maintain throughout the term of the event, at Renter’s sole cost and expense, Liability Insurance.  Such insurance must provide limits of not less than $1,000,000 for each occurrence. The City shall be named as an “Additional Insured” and copies of the insurance “Certificate of Evidence of Insurance” showing the City as Additional Insured, and shall not be allowed to be canceled or materially changed.

30. INDEMNIFICATION AGREEMENT:

    RENTER AGREES THAT AS PART OF THE TERMS OF THIS AGREEMENT, RENTER ON BEHALF OF HIMSELF/HERSELF/ITSELF AND HIS/HER/ITS GUESTS, HEIRS, BENEFICIARIES, EXECUTORS, ADMINISTRATORS, INVITEES, ASSIGNS, LEGAL REPRESENTATIVES, AND ANY PERSON PRESENT AT THE FACILITY AS A RESULT OF RENTER’S EVENT AGREES TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE CITY OF FERNDALE AND ITS APPOINTED AND ELECTED OFFICIALS, OFFICERS, REPRESENTATIVES, AUTHORIZED REPRESENTATIVES, EMPLOYEES AND AGENTS FROM ANY AND ALL DAMAGES, LOSS, COSTS, CLAIMS, AND EXPENSE OR LAWSUITS FOR DAMAGES OR LIABILITY, INCLUDING ATTORNEY FEES IN DEFENSE THEREOF FROM PERSONAL OR BODILY INJURY, INCLUDING DEATH AT ANY TIME RESULTING THEREFROM, SUSTAINED OR ALLGED TO HAVE BEEN SUSTAINED BY ANY PERSON OR PERSONS ON ACCOUNT OF DAMAGE TO PROPERTY, ARISING OR ALLEGED TO HAVE ARISEN DIRECTLY OR INDIRECTLY OUT OF OR IN CONSEQUENCE OF THE RENTAL OF THE FACILITY AS PER THIS AGREEMENT.

    USER AGREES BY HIS/HER/THERE SIGNTURE ON THE FACE HEREOF THAT HE/SHE/THEY HAS READ AND IS AWARE OF THE TERMS AND CONDITIONS CONCERNING THE USE OF THE FACILITY AND ACCEPTS FULL RESPONSIBILTY HEREIN.

32. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Electronic Signature
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field