Thomas P. Morahan Waterfront Park* Membership Application · 2020-05-27 · Permit# BP Thomas P. Morahan Waterfront Park* Membership Application Summer 2020* Beach Hours 11: 00am

Permit# BP

Thomas P. Morahan Waterfront Park*

Membership ApplicationSummer 2020*

Beach Hours

11: 00am - 7: 00pm

DUE TO THE CURRENT COVID- 19 PANDEMIC, THE TOWN OF WARWICKWILL BE ISSUING PASSES TO TOWN OF WARWICK RESIDENTS ONLY

Last Name:

First Name:

Address:

City: State: Zip:

Home Phone: ( email address:

Season Pass Options: ( please check one)

CHECK PASS TYPE RESIDENT

Family Season Pass 125. 00

Senior Season Pass ( 55 and over) 25.00

Adult Season Pass ( 19- 54 yrs) 60.00

Children Season Pass ( 5- 18 yrs) 30.00

Commercial Pass ( 20 Passes) 60. 00

Replacement Pass 5. 00 ( each)

Daily Fee 8. 00

Resident Guest Fee 10. 00

Family= Mother, Father,& Children, in the same household, list names and ages below)

Applicants must provide documentation to verify residency.

Membership/Day Rates: ( 5 & under Free)

LIMITED TO 6 PASSES PER FAMILY

THERE WILL BE A FEE OF$ 10. 00 FOR EACH ADDITIONAL FAMILY MEMBER UP TO 4

Family Pass: ( pass issued for each family member, list names below)

FIRST LAST RELATION AGE

1.

2.

3.

4.

5.

6.

Additional:

Additional:

Additional:

Additional:

Signature: Date:

Please sign Hold Harmless Agreement on the back of this form

HoldHarmlessAgreement

1. Inconsiderationforreceivingpermissiontoutilizetownproperty, Iherebyrelease, wave, dischargeandcovenantnottosuetheTownofWarwick, theirofficers, agents, servants, oremployees (hereafterreferredtoasreleases) fromanyandallliability, claims, demands, actionsandcausesofactionwhatsoeverarisingoutoforrelatedtoanyloss, damage, orinjury, includingdeath, thatmaybesustainedbymeoranyofthepropertybelongingtome, whethercausedbythenegligenceofthereleases, orotherwise , whileparticipatinginsuchactivity, orwhilein, onoruponthepremiseswheretheactivityisbeingconducted.

2. Iamfullyawareoftherisksinvolvedandhazardsconnectedwithprivateactivitiesincludedinpublicvenues, andherebyelecttovoluntarilyparticipateinsaidactivitywithfullknowledgethatsaidactivitymaybehazardoustomeandmyproperty. Ivoluntarilyassumefullresponsibilityforanyrisksofloss, propertydamageownedbyme, asresultofbeingengagedinsuchanactivity, whethercausedbythenegligenceofthereleasesorotherwise.

3. Ifurtherherebyagreetoindemnifyandholdharmlessthereleasesforanyloss, liability, damageorcost, includingcourtcostsandattorneyfees, thattheymayincurduetomyparticipationinsaidactivity, whethercausedbymynegligenceofthereleasesorotherwise.

4. IunderstandthattheTownofWarwickdoesnotmaintainanyinsurancepolicycoveringanycircumstancearisingfrommyparticipationinthiseventoranyactivityassociatedwithorfacilitatingthatevent. Assuch, IamawarethatIshouldreviewmypersonalinsuranceportfolio.

5. Itismyexpressintentthatthiswaiverofliabilityandholdharmlessagreementshallbindthemembersofmyfamilyandspouse, ifIamalive, andmyheirs, assignsandpersonalrepresentative, ifIamdeceased, andshallbedeemedasarelease, waiver, dischargeandcovenantnottosuetheabovenamedreleases. IherebyfurtheragreethatthiswaiverofliabilityandholdharmlessagreementshallbeconstruedinaccordancewiththelawsoftheStateofNewYork.

6. Insigningthisrelease, IacknowledgeandrepresentthatIhavereadtheforegoingwaiverofliabilityandholdharmlessagreement, understandit, andsignisvoluntarilyasmyownfreeactanddeed, nooralrepresentatives, statements, orinducements, apartfromtheforegoingwrittenagreement, havebeenmade; Iamatleast18yearsofageandfullycompetent; andIexecutethisreleaseforfull, adequateandcompleteconsiderationfullytobeboundbythesame.

InWitnessthereof, Ihereuntosetandsealonthis ____ dayof __________, ____

Witness Applicant