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2023-IG68
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Last modified
7/20/2023 11:28:57 AM
Creation date
7/20/2023 10:55:08 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/13/2023
Control Number
2023-IG68
Entity Name
Health First
Subject
Medicare benefit session for members November 9, 2023, Rooms 112 A & 112 B
Area
Intergeneration Recreation Center
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�V ER C, <br />* * RENTAL CONTRACT INTERN COUNTS <br />INTERGENEEERA"CiONAI, <br />�OR[OQ' RECREATION CEN'T'ER <br />E V E N T V E N U E <br />TO INDIAN RIVER COUNTY: In consideration of the opportunity afforded to me and/or my group, I, the <br />undersigned participant, freely agree to and make the following contractual representations and agreements. <br />I, the undersigned participant, do hereby knowingly, freely, and voluntarily assume all risk and liability for <br />any damage or injury that may occur as a result of my and/or my group's use of the Intergenerational <br />Recreation Center identified herein during the time period I and/or my group are using same and further <br />agree to release, waive, discharge, and covenant not to sue Indian River County, its officers, agents, <br />employees, and volunteers (all for the purposes herein referred to as "Releases") from any and all liability <br />or claims that may be sustained by me or a third party directly or indirectly in connection with, or arising <br />out of, the use of the Intergenerational Recreation Center as described herein, whether caused in whole <br />or in part by the negligence of Indian River County or the Releases. <br />I further agree to indemnify and hold harmless the Releases with respect to any and all fees, costs, expenses, <br />and attorney's fees arising out of or in connection with my and/or my group's use of the Intergenerational <br />Recreation Center as described herein. <br />I agree that I have read this form, fully understand its terms, and understand that I, or anyone who may <br />claim to have rights on my behalf, have given up substantial rights by signing it and have signed it freely <br />and without any inducement or assurance of any nature and intend it to be a complete and unconditional <br />release of any and all liability to the greatest extent allowed by law and agree that, if any portion of this <br />contract is held to be invalid, the balance notwithstanding shall continue in full legal force and effect. <br />This acceptance is on behalf of all persons in the group with me. If the rules are violated this permit may <br />be revoked and future permission may be refused. Permit holder is responsible for the conduct of all persons <br />in the group. <br />I agree that I am 21 years of age and will be present during the period stated on this permit. <br />IN WITNESS WHEREOF, the parties, by and through their authorized representatives' signatures below, <br />do hereby execute this License Agreement. <br />Applicant Printed Name: Jodi Quillet <br />Applicant Signature: <br />Date: 07/13/2023 <br />-7//�/2� <br />Joshua Chandler, Facility Supervisor Date <br />Applicant Initials � czc&t- <br />Intergenerational enter Rental Contract Page 5 of 9 <br />
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