Fillable CITY OF LAKEWAY PARKS AND RECREATION 105 Cross (City of Lakeway)

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CITY OF LAKEWAY PARKS AND RECREATION 105 Cross (City of Lakeway)

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File type: PDF

U.S.A. forms for City of Lakeway

BROWSE CITY OF LAKEWAY (TX) FORMS

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CITY OF LAKEWAY
PARKS AND RECREATION
105 Cross Creek
Lakeway, TX 78734
512/261-1010 Type of Permit Requested:
FAX 512/261-5033 Ranger Field
Dragon Park Multi-Purpose Field
APPLICATION FOR USE OF CITY OF LAKEWAY FIELDS
OR SPECIAL PERMIT
Date of Event:_______________________ Hours:________________________
Number of Persons Attending _______ Function:________________________
Are you scheduling this field for a LTYA team? (Ranger Field only)
YES NO
Date of Application:
Applicants Name:____________________________________________________
Address:___________________________________________________________
Day Time Phone ____________________________________________________
Name, Address and Phone Number of the Person, Corporation, or Association
sponsoring the activity if different from above:______________________________
__________________________________________________________________
__________________________________________________________________
RELEASE
General Liability, Bodily Injury and Property Waiver
KNOW ALL MEN BY THESE PRESENTS, that I, in
consideration of being allowed to use certain property at a City of Lakeway Park on
, as described above, do by these present for myself, my heirs,
executors, administrators, and assigns, do hereby release, indemnify and hold harmless the
City of Lakeway, Texas, its agents, officers and employees from any and all liability, action,
claim, and damage arising from or resulting from property damage, personal injuries or
death sustained by me or my guests at a City of Lakeway Park, or my property or my
guests’ property. I further agree to release, indemnify and hold harmless the City of
Lakeway, its officers, and employees from any and all claims of liability actions, judgments,
damages and attorney’s fees arising from any intentional act or act of negligence committed
by me or my guests.
Signed this the day of , 20 .
Signature
Staff Use:
Date Received: _____________
Fee Paid______ Receipt # ________
PERMIT APPROVAL
Issued to:
Date: Time: to
Special Conditions:
Authorized Signature Date
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CITY OF LAKEWAY PARKS AND RECREATION 105 Cross (City of Lakeway)

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Completed 23 January 2021

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