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Facility Use Request

Please correct the field(s) marked in red below:

Contact Information
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Contact Information
Event Information
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Event Information
Description of activities to the conducted:
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I hereby certify that the information on this facility use request is true and I have read and agree to abide by the Avondale Facility Use Policy. I also agree to the fee charged and understand that the deposit may be withheld by the City of Avondale for damages to the facility while under this agreement. I further agree to indemnify, defend and save harmless the City of Avondale, its officers, agents and employees for, from and against all loss or expense (including costs and attorney fees) by reason of liability imposed by law upon the City of Avondale, its officers, agents and employees for damages because of bodily injury, including death at any time resulting therefrom, sustained by any person or persons, or on account of damage to property including loss of use thereof, arising out of, or in consequence of my use of City of Avondale facilities.


Electronic Signature
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Electronic Signature
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