Borough of] North Braddock 600. Anderson Street North Braddock PA 15104 www.northbraddockborough.com Phone: (412)271-1306 Email: northbraddockaa.cr@gmail.com  NORTHI BRADDOCK BOROUGH THE BIRTHPLADEDFS STEEL  Park Rental Application Permit $50 Security Deposit (Returned upon inspection) Please make checks payable tol North Braddock Borough  Applicant Name: Address: Phone:  E-mail:  License/ID #:  Requested Park:  Spray Park - Brinton. Avenue  General Braddock Playground Verona Street Recycle Park Verona Street Legends Playground - Hawkins Avenue  Date Requested:  Time- From:  to  Approximate number of attendees: Description ofUse:  Date Received:  Payment Received:  Approved by:    Borough ofl North Braddock 600. Anderson Street North Braddock PA 15104 www.northbraddockborougn.com Phone: (412)271-1306 Email: northbraddockaa.cr@gmail.com  NORTHI BRADDOCK BOROUGH THEE BIRTHPLALE OFSTEEL  Park Rental Risk Release and Waiver ofLiability  Inc consideration of use ofThel Borough of North Braddock's property for an event I agree that there may be risks of personal injury and loss of property arising from the event, and I hereby agree to assume the full risk of any injuries, including death, loss or damage of property from holding and/or conducting the event. Ihereby agree to waive and relinquish any and all claims I may have as ai result ofholding and/or conducting the event. Ihereby agree and covenant to indemnify, defend, and savel harmless The Borough of North Braddock and those persons who were, now are, or shall be duly elected or appointed officials or members or employees thereof, ofThe Borough ofl North Braddock, against and from any loss, damage, cost, charge, expense, liability claims, demand, or judgment ofwhatsoever kind or nature whether toj persons or property, arising wholly or in part out of any acts, action, neglect, omission, or default, on the part oft the event] participants or The Borough of North Braddock. In case ofsuit or cause ofaction shall be brought against The Borough of North Braddock on the account any act, action, neglect, omission, or default on the part of the event organizers, directors, or participants, Ih hereby' agree and covenant to appear and assume the defense thereof and to pay. any and all costs, charges, attorney fees and any other expenses, and any and all judgments that may bei incurred or obtained against The Borough ofNorth Braddock. Int the event that Thel Borough of North Braddock is required to institute legal action and/or participate in legal action to enforce this indemnification and hold harmless clause, II hereby agree to immediately notify The Borough of North Braddock in writing of any claims or suit against The Borough ofl North Braddock to which this paragraph applies. The indemnification provisions have  been mutually negotiated between the parties.  IHAVE READ THE ABOVE AND AGREE TO ABIDE BY ALL TERMS AND CONDITIONS SET FORTH IN THE RISK RELEASE AND WAIVER OF LIABILITY  Printed Name: Signature: Event Name: Event Location:  Date: Event Date: