|HAVE YOU SEEN THE SPACE? (Print
This Page, Sign, and Bring To The Space).
An extremely generous donation has been made to Long Island City, in the form of property being made available for activities specifically concerning the community. Called THE SPACE, many local artists, neighbors, and
organizations have assisted in getting this situation ready, and we would like you to come visit. To enter the situation,
THE SPACE requires this membership agreement and release of responsibility signed by the INDIVIDUAL, or INDIVIDUALíS parent or legal guardian if under 18, basically securing the fact that the INDIVIDUAL is entering at
their own risk and can and will not hold the donorís in this situation, such as the property owner, the artists, and any representatives and employees that are associated with THE SPACE, responsible parties. Overall, this is a
membership agreement, which commits membership and allows entry to THE SPACEíS property during specific times once signed by the INDIVIDUAL or INDIVIDUALíS PARENT OR LEGAL GUARDIAN if under 18.
The INDIVIDUAL shall be an independent member pursuant to this Agreement, and shall not be the agent, client, or employee of THE SPACE.
As an independent member, the INDIVIDUAL shall be solely
responsible for all insurance, as regards disability
Any cancellations of activities or programs shall be determined
by THE SPACE. If either party is prevented from
THE SPACE shall have the right to record, by whatever
means it desires, the activity of the INDIVIDUAL and shall
This Agreement contains the entire agreement between the parties. No modifications or amendments thereof shall be of any effect unless made in writing and signed by both parties. The Agreement shall be covered by the city, local, and federal laws of the concerned property location.
|On behalf of THE SPACE, enjoy!
Kristina A. Schopper (Kristy)
SIGNATURE OF lNDIVIDUAL
SIGNATURE OF PARENT/LEGAL GUARDIAN
(must be signed if individual is under 18)
|CONTACT INFO:(please print)
name of individual: _________________________________
daytime phone: _____________________evening phone:______________________fax:_____________________
email address: ______________________________________
emergency contact: _______________________phone:_______________ relation:_______________________