Pavilion Rental Request Form

Date of Event*

Type of Event*

Renter*

Address*

City/State/Zip*

Phone Number*

E-Mail*

Rental fee is $30.00

By submitting this application, I represent to the Village of New London, Ohio, and I hereby state that I agree to, each and all of the following terms and conditions: 1. The information I have completed on this application is accurate. Use of the premises is limited to the use, hours, and capacity designated above. 2. I personally assume responsibility for returning the premises to the same condition as it existed when it was made available to me.. 3. I accept use of the facility and equipment on an as is, where is, basis; and I understand and agree that the Village of New London makes no representation or warranty whatsoever with respect to the premises, their condition, any equipment located thereon, or their usefulness for the my intended use. 4. As this is a municipal facility, the Village reserves the right, at its sole discretion, to cancel this permit in order to utilize the facility for a public purpose; and I understand and agree that the Village shall not be held liable for any expense, loss, or damages incurred by me as a result. If this Application is approved, I understand that is for a single event, day, and time only, and that no verbal statement by any Village official can create a permanent right, nor can any verbal statement transform this permit into any specific or permanent right. 5. I assume all liability for any injury to persons or damage to or loss of property, which injury, damage, or loss is directly or indirectly related to the rental/event. I shall defend, indemnify, protect and hold harmless the Village of New London, and all of its administration, officers, agents and employees, against claims, damages, losses, liens, causes of action, suits, judgments and expenses (including attorney fees and other costs of defense) of any nature, kind or description brought for or arising from, or on account of any injuries or damages received by any person or property, resulting from any negligent acts, errors, omissions by any person directly or indirectly related to the rental/event unless such liability is attributed solely to intentional acts of the Village of New London, Ohio.

Date of Acknowledgment*

Renter Full Name*