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:___________________________________