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2. First Name*
3. Last Name*
5. Email Address*
7. Conditions of Agreement

   1. Use of the City property in the Vandalia Recreation Center (VRC) is subject to all pertinent state laws, City ordinances, Health Department and City of Vandalia Parks and Recreation Department regulations.

   2. The City and its officers shall be free from any liability for damages to persons or property resulting from the issuance of this agreement.

   3. The holder of this agreement will be responsible for damage to the City of Vandalia property from use herein.

   4. The holder of this agreement is responsible for the actions of any individual included in their group including damages to the facility or property of the VRC. 

   5. Adults chaperoning youth groups and students must be present in all areas of group utilization and supervise their group confirming they are following all rules and regulations; this includes the locker rooms. 

   6. It is the responsibility of the holder of this agreement to relay all Vandalia Recreation Center rules, policies and guidelines to each member of their group. Please see attached document(s) for the rules and regulations for each specific area. 

   7. No alcoholic beverages are permitted on the premise. 

   8. The City of Vandalia reserves the right to deny the use of the Recreation Center based on the past behavior of the group while using the facility and/or where a group repeatedly fails to keep their reservation, thereby denying its availability to other groups.

9. I have read and understand the conditions and rules above.*

   1. I have read and understand.
11. I acknowledge and agree to date, time, and fee on receipt attached to email.*

    1. I acknowledge.
13. Electronic Signature*
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15. 1. Receive an email copy of this form.
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