Fillable Printable Special Event Permit Hold Harmless Agreement

Special Event Permit Hold Harmless Agreement

SPECIAL EVENT PERMIT

HOLD HARMLESS AGREEMENT

I/We the undersigned, being of lawful age, by affixing my/our signatures hereto, do hereby agree to

indemnify and to hold harmless the City of Sonora, its officers, employees, elected officials and

agents, from and against any and all liability claims, actions, causes of action, demands, rights,

damages, cost, loss of service, expenses, and compensation for all negligence whether active or

passive arising out of or in any way connected or related to

___________________________________

to be held on ___________________________.

(Name of Event)

(Date)

____________________________________________________________

Name of sponsoring Individual(s) or Organization/Group

____________________________________________________________

Address

__________ _ ____ __________ __________ _ ____ ___________ _

Phone No. (include Area Code) Email Address

I understand by affixing my signature to this release that I do assume all risks and waive

defendant’s negligence, including a release of heirs.

Furthermore, the undersigned hereby acknowledges receipt of the Special Event Permit Application

and willingness to adhere to its provisions.

__________ _ ____ ___________ ___________ ___________ __________ _ ____ _________

Signature Date

___________________________________________ ________________________

Signature Date

For Minors: (require d for participants under the age of 18 at the time of the event)

This is to certify that I, as parent or legal guardian, have legal responsibility for this participant. I

have read and understand the significance of this waiver and release and do consent and agree to

his/her waiver, release and assumption of the risk as provided above.

__________________________________________________________

(Print Name of Parent/Legal Guardian)

______________________________________________ ______________

Signature Date

AUTHORIZED REPRESENTATIVE

(To be completed by individuals representing an Organization or Group)

I, _____________________, warrant that I have authority to bind ____________________________

(Name of individu al ) (Name of Organization/Group)

to this Hold Harmless Agreement and by my signature hereon do so bind this

individual/organization. By executing this waiver as an authorized representative you are hereby

binding all of your organization/group’s individuals participating in this event to this waiver and

hereby assume responsibility for these individuals.