Long Cove Point Association

Club Rental Form

Indemnification Agreement

AGREEMENT made and entered into this _________ day of _____________, 20____ by and between

the Long Cove Point Association, Chamberlain, Maine (hereinafter referred to as the “Association”) and _______________________________(hereinafter referred to as the “Member”).

Whereas the Association has agreed to allow the Member the use of the Association’s clubhouse and

grounds for a period beginning at _________(time) on __________________(date) and ending at

______(time) on _______________(date) for the purpose of __________________(type of event); and

Whereas the use of the facility may involve other persons unknown to the Association who may or

may not be members of the Association and over whom the Association will have no control; and

Whereas the Member, as part of its agreement for the use of the premises, has and hereby confirms

that it does agree to accept total responsibility for the actions of all guests and participants, invited or

otherwise.

NOW THEREFORE, in consideration of the agreement by the Association to allow the Member use of

the premises for the period mentioned above, the Member agrees as follows:

1. To inspect and accept the premises in the condition as is and as equipped.

2. To accept full responsibility for any and all damage to the premises caused by the Member

or any guests or others present.

3. To indemnify and hold harmless the Association, its directors, officers, and members from any and

all liability arising out of the use of the premises by the Member, its guests or others present,

including both on the premises and any off premises liability, whether related directly or indirectly

from the Member’s use of the premises.

4. To report to the Association any and all damages or other incidents, which may cause or involve

injury or property damage to any person or property of the Association or any guest or others

present. The Member acknowledges that the Association has not and will not insure the planned

activity.

5. To leave the premises and all associated property and equipment in the condition in which it was

accepted. An itemized list of such accompanies this form and will require the Member’s signature.

Dated_______________________, 20____ Long Cove Point Association, Inc.

Member: ___________________________ (Signature)

_____________________________(Printed)

Address:______________________________________________________________________________

Email:________________________________________________

Telephone Number:___________________________________