AFTER HOURS CONTACT: PUBLIC WORKS DEPT-8 863-242-2642  FREEDOM PARK 7750 BERKLEY RD USE. APPLICATION Please/lloutjormcompletelyaeprintlegibly,  Rental Date:_ Event Start' Time: Estimated Attendance:  Event End Time:  Description of Event:  Name of Person or Group Responsible:  Mobile Phone: Street Address: City  Alternate Phone:  State  Zip.  Will You Require: Use of Electric? Yes Use of stage lights? Yes Bathrooms Open? Yes  No No No  POLK CITY STRICTLY PROHIBITS THE PLACEMENT OF VEHICLES, DRY SLIDES, WATER SLIDES, BOUNCE HOUSES, DUNK TANKS, BUCKET DROPS, AND/OR ANY COMBINATION THEREOF AT FREEDOM PARK FOR PERSONAL AND/OR PRIVATE EVENTS UNLESS PRIOR AUTHORIZATION HAS BEEN  GRANTED    AFTER HOURS CONTACT: PUBLIC WORKS DEPT -8 863-242-2642  USE-AGREEMENT  Polk City reserves Freedom Park to  on and ending at  (date) for (time).  (name of event) beginning time of  Polk City shall not be liable for theft, loss, or for any damages occurring from acts over which Any motor vehicles parked on or near the premises, together with the contents thereof, shall be parked at the risk of the group. Polk City shall not be responsible or liable to the group for loss Polk City shall not be liable for any injury or damage to any person or to any property at any time of said premises of Freedom Park from any case whatsoever during the reservation period. Applicant hereby releases Polk City for all past, present, and future claims for any injury or damage to any person or property at any time related to Applicant's use of Freedom Park. Applicant indemnifies and holds Polk City harmless from all past, present, and future claims for any injury or damage to any person or property at any time related to Applicant's use of Freedom  Polk City has no control.  or damages to said vehicle and/or its contents.  Park.  The group agrees to leave thej premises, i.e., restrooms, etc., neat, and clean, free from debris and undamaged in all respects after the function or there will be a damage fee assessed. All clean up must be complete immediately following the event and is within the time listed in the event application. Any event that is damaging the facility or defacing Polk City will be shut down immediately and result in the loss of future facility reservations and the loss ofall reservation. I/We hereby agree to the terms and conditions set forth in this contract and acknowledge receipt  ofa copy.  Agreed (Applicant): Contact information for Lessee: Usel Facility Manager: City Manager:  Date:  Date: Date: