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Of* <br /> .40 CIAO <br /> 1. III, k <br /> RESERVATION AGREEMENT <br /> t .1t •al . / % 11 <br /> TO INDIAN RIVER COUNTY:In consideration oldie opportunity afforded to me Lormy group,1,the <br /> undersigned participant,freely agree to and make the following contractual representations and agreements. <br /> 1,the uridersigned participant,do hereby knowingly, freely, and voluntarily assume all risk and liability <br /> for any damage or injury that may occur as a result of my andlor my group's use of the Intergenerational <br /> Recreation Center identified herein dining the time period I andior 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 he sustained by me or a third party directly or indirectly in connection with, or arising <br /> out of. the use of the Intentenerstional Recreation Center as described herein, except if caused in <br /> whole or in part by the negligence of Indian River County or the eleas-es. <br /> I further agree to indemnify and hold harmless the Releases with respeci to any and all fees,costs.expenses. <br /> and attorney's fees arising out of or in connection with my andt'or my group's use of the Inters <br /> Retreat km Center as described herein. <br /> I agree that I have read this form. fully understand its terms. and understand that 1. or anyone who may <br /> claim to have rights on my behalf, have given up substantial nghts by signing it and have signed it freely <br /> and without any inducement or assurance of any nature and intend it to be a compkte 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 /> Agreement is held to be invalid,the balance notwithstanding shall continue in full legal Imre 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_Penni'holder is responsible for the conduct of all persons <br /> in the group_ <br /> I agree that I am at least 2 I 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 representativessignatures below. <br /> do hereby execute this License Agreement. <br /> , • <br /> Applicant Printed Name: 3-)ex-Ase A.,1-C <br /> Applicant Signature: 0. t.4.2242 --_7 / . ,1.....2 _ <br /> Date: i,"--j/—_6)0Y--/ <br /> Leiria Par&FA:iliiw,Re:a-coin' a Supaviscr .._:.41,-' <br /> Applicata Initials_ _ <br /> _( - <br /> inIergeneratianal C I Kesenatian Agreement <br />