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Daily Rate: = $275.00 (Entire Day Cost)

Wolfe Building Access Hours: 6:00 am to 9:00 pm

Dates: ... - ... days(s)
Total Booking Cost: $0.00

Discount: $0.00

Exempt Code: {*If you do not have a Exempt Code, leave it blank}

Licensee Information

Organization Name (Optional):

First Name (required):

Last Name (required):

Email (required):

Phone (required):

Address (required):

City (required):

Post code (required):

Country (required):

Special Instructions (Please Enter any Special Setup Needs here):

Applicants: By signing this Application on behalf of another, you warrant full authorization to represent Licensee, and that Licensee has agreed to be bound by this Agreement the same as if it had personally applied for the license. The Administrator can demand reasonable proof thereof.

By signing this Application, I, as or on behalf of Licensee, certify that I have received, read, and understood the Public Facility License Terms and Conditions and will abide by any conditions set forth therein as well as the Town’s Facility Licensing Ordinance. I agree to indemnify, hold harmless, and defend the Town of Shipshewana and its representatives and agents from and against any and all causes of action, claims, demands, liabilities, loss, damage, or expense, including attorneys’ fees, or other causalities of whatever kind, or by whomsoever caused, to persons or property arising out of or relating to the issuance of the license including the event connected therewith, due in whole or in part to any act, omission, or negligence of Licensee and/or any other invitee or guest of the property.

I accept full responsibility for the facility/amenities throughout the period specified in this Application. I further understand that, as the Applicant, I assume full responsibility for any penalty fees assessed by the Town for any violations of the Terms and Conditions governing their use. I am also aware that by signing this Agreement, I take full responsibility for the behavior exhibited by my invitees and guests during my license.

I understand that I am responsible for any damages or fees sustained to the facilities and amenities during the license. Responsibility includes, but is not limited to, costs in restoring facility and/or amenities and third-party fines issued as a result of noncompliance with Terms and Conditions. Any damages or missing facility or amenities sustained must be compensated within seven days of the event date.

The Town of Shipshewana shall not be liable for any failure to perform its obligations where such failure is as a result of Acts of Nature (including fire, flood, earthquake, storm, hurricane or other natural disaster), pandemics (such as COVID-19), epidemics, diseases, war, invasion, act of foreign enemies, hostilities (whether war is declared or not), civil war, rebellion, revolution, insurrection, military or usurped power of confiscation, terrorist activities, nationalization, government sanction, blockage, embargo, labour dispute, strike, lockout or interruption or failure of electricity (or telephone service), and Licensee shall not have a right to terminate this License Agreement under such circumstances.

Full Name (required - Used as Digital Signature):

Total Booking Cost: $0.00