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Facility Use Application

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  2. Opening Statement
    The City of Cheney wishes to encourage use of City facilities by the community as long as the use is of lawful purpose and does not interfere with the conduct of City, its programs or the primary purpose for which the buildings and grounds are intended. Community use of facilities is subject to the terms of City Policy and Procedures and the current City fee schedule. Funds may be charged for the use of City facilities to ensure that funds intended for the City are not used for other purposes. Permission to use a particular facility may be denied based upon availability, or if the City, in its discretion, concludes that the proposed activity is not in the public's best interest; however, no person shall be denied the full enjoyment of the facilities because of race, creed, color, sex, origin, or any other protected class under applicable law.
  16. Please provide a description of the activity you plan to hold in the Cheney facility or park.
  22. To
  26. Will Admission be Charged at Your Event?*
  27. Will Custodial Services be Needed?*
    Custodial services are limited to unlocking and locking doors, operating lights, providing heat, setting up chairs, and performing routine cleanup.
  29. Equipment Needed
    Please check all appropriate boxes
  31. Facility Rental Fees
    FACILITY RENTAL FEES will be determined by the latest established rental rates. Payment of charges shown on the application form is to be made to the City of Cheney within 30 days. Charges may be levied to cover the cost of additional services not covered in the original agreement or for damages or agreement violations. The City of Cheney reserves the right to require and charge for custodial and/or other authorized City of Cheney employees to be on the premises.
  33. Athletic Fields and Facilities
    Users of athletic fields and facilities for youth sports shall comply with the guidance of RCW 28A 600 190 and RCW 28A 600 195 regarding youth sports concussion, head injuries and sudden cardiac arrest. All user of athletic fields and facilities shall comply with Cheney's Gender Equality Policy, pursuant to RCW 49.60.550.
  35. Agreement, Release and Indemnification*
    The person or organization entering into a use agreement with the City of Cheney for the use of City of Cheney facilities or equipment described above (collectively “the Facilities”) certifies that the information given in this application is current and correct. The undersigned further states that he/she has the authority to make this application for the Applicant and agrees that the Applicant will observe all rules and regulations. The Applicant further agrees to reimburse the City of Cheney for any damages arising from the Applicant’s use of said Facilities. Any accident involving injury to participants or damages to the Facilities occurring during the use of the Facilities will be reported to the City of Cheney Parks and Recreation Department immediately. FURTHERMORE, the applicant agrees as follows: I am aware of and expressly assume all of the various risks of serious injury and/or death associated with or arising out of the use of the Facilities. In consideration for granting this request, and being fully aware of all of the risks, I hereby RELEASE the City of Cheney and its officials, employees, volunteers and agents (“the Released Parties”), and AGREE TO WAIVE ANY RIGHT OF RECOVERY THAT I AND/OR THE ORGANIZATION, AS APPLICABLE, MAY HAVE, including the right to bring a legal claim, cause of action, or lawsuit for any bodily injury, death or other harmful consequences in any way arising out of use of the Facilities. I understand that this release extends to all claims of any kind and every nature, known, unknown, suspected or unsuspected, in any way arising out of or related to use of the Facilities. I agree to defend, indemnify and hold harmless the Released Parties from and against any and all claims, suits, actions, or liabilities for injury or death of any person, or for loss or damage to property, which arises out of the use of the Facilities or from any activity, work or thing done, permitted, or suffered by Applicant in or about the Facilities, except only such injury or damage as shall have been occasioned by the sole negligence of the Released Parties.
  37. Insurance
    The Applicant is required to procure and maintain for the duration of the use or rental period insurance against claims for injuries to persons or damage to property which may arise from or occur in connection with the use of the Facilities and the activities of the Applicant and his or her guests, representatives, volunteers and employees. Accordingly, the Applicant is shall provide proof of general liability insurance, with minimum limits of $1,000,000 per occurrence and $2,000,000 aggregate, and name the City of Cheney as an additional insured by using ISO endorsement CG 20 11 on said policy. The insurance policy shall contain, or be endorsed to reflect that the Applicant’s insurance coverage shall be primary insurance as respect the City of Cheney. Any insurance, self-insurance, or self-insured pool coverage maintained by the City of Cheney shall be excess of the applicant’s insurance and shall not contribute with it. (Low-cost Special Events Liability Insurance may be available through the City of Cheney’s carrier.) For athletic events, the General Liability insurance shall include coverage for participant liability with limits of not less than $1,000,000 per occurrence.
    38. Leave This Blank:

  40. This field is not part of the form submission.