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Park Shelter Reservation Permit Application


  1. 1. Step One
  • Step One

    1. This permit must be in the possession of the person conducting the event on location and shall be shown to any official of the Town of Kersey upon demand. Shelters only are reserved - park use is on a first come, first serve basis.

    2. This permit is only complete once the fee(s) are paid and the 'Office Use Only" section is signed by a Town staff.

    3. Location Requested

    4. (if applicable, if not enter n/a)

    5. Applicant hereby understands that this permit is subject to all policies, rules, regulations and ordinances of the Town of Kersey. By signing this application, Applicant certifies that he/she has read, understands and agrees to all of the provisions of this permit. Applicant further certifies that he/she will personally advise all participants of these provisions prior to the event and as many times thereafter as may be required, to include advisement that violation may subject him/her and all participants to revocation of this permit and to be prosecuted under Town Ordinances and/or state laws that are violated. Applicant further agrees that use of the facility shall be in compliance with all federal, state and local laws including, but not limited to, the Americans with Disabilities Act (ADA). Applicant agrees to leave the facility in a condition as good as, or better than, originally found. Applicant personally and individually accepts liability for all repairs to the facility and/or repair or replacement of equipment in the event of damage.

      In consideration of the issuance of this requested permit, Applicant hereby expressly releases and discharges the Town from all liabilities, other than liability due to the negligence of the Town, its employees or agents, for loss injury or damages to persons or property that may be sustained by Applicant or its invitees while on the Town property, including the parking lot, during the therm of this Agreement. Applicant hereby agrees to indemnify and hold harmless the Town and its officers, representatives and employees against all claims, costs and losses of any kind, including reasonable attorney's fees resulting from Applicant or Applicant's invitee's use of the Town facilities. Applicant hereby assumes personal and individual liability for any damages occurring through or during the use of the facility set forth in this permit.

    6. A permit regarding the above application to conduct an assembly in or upon the public parks specified will be conducted in accordance with the Kersey Municipal Code.