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Prior to filling out this form, read about how to reserve a community room.

Is there a registration cost, fee, dues, etc., for participation in this activity?
I acknowledge food and beverages (with the exception of bottled water) are not authorized
Date requested (if requesting multiple dates, list above in specific description field)

For the sole consideration of the authorization of the City of Colorado Springs to use a Community Room or any other meeting room located within any Colorado Springs Fire Department facility for the purpose of holding a meeting, the undersigned hereby releases, forever discharges and covenants to hold harmless, the City of Colorado Springs, its officers, agents, employees, administrators and assigns, and any other persons, firms and corporations liable or who might be claimed to be liable, hereinafter called releasees, none of whom admit liability but all expressly deny liability, from any and all claims, demands, damages, actions, causes of action or suits of whatever kind or nature on account of loss or bodily injuries which may result from the use of the above-described facilities by the undersigned or guests of the undersigned.

As further consideration for the authorization to use the above-described facilities, undersigned hereby agrees to protect releasees against any claims for damages, compensation or otherwise on the part of any of undersigned’s guests, growing out of or resulting from injury or loss that may occur incidental to the use of the subject facilities by the undersigned or guests, and to reimburse or make good any loss or damages or costs that said releasees may have to pay if any litigation arises from said injuries or losses.  Undersigned hereby waives any and all rights of exemption, both as to real and personal property, to which undersigned may be entitled under the laws of this or any other state as against such claims for reimbursement or indemnity by said releasees.

I further understand that the privilege and authorization to use the Community Room which is granted to me by the execution of this Release and Indemnification Agreement may be revoked at any moment, if in the opinion of the supervising officer or any other Fire Department member, my actions or those of my guests constitute a hazard or hindrance to any aspect of fire duties or safety or are otherwise incompatible with the Colorado Springs Fire Department carrying out its assigned mission, or if an unforeseen need arises for the use of the room by the Fire Department. Depending on the Department of Homeland Security threat levels, attendees may be required to sign in, or the meeting may be cancelled altogether.

I further warrant that no promise or inducement has been offered except those set forth in this Release and Indemnification Agreement and the same is executed without reliance upon any other statement or representation by persons or parties released, or their representatives.

I further understand and expressly acknowledge that by clicking on the 'I Agree' button, I certify that I have read the above Release and Indemnification Agreement and I agree to all of the terms and conditions contained therein.

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