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2. 
4. Date(s) of reservation
6. Fees & Charges
8. Event Use*

   1. 1. Media Shoot (crew of 12 or less): $85/hour (2 hour block minimum)
   2. 2. Media Shoot (crew of 13 or more): $160/hour (2 hour block minimum)
   3. 3. Special event: $2,000/8 hour block ($200/additional hour)
10. From*
11. To*
12. Amount of Hours*
14. Security Deposit: $500 per event | Cleaning Deposit: $500 per event

    Additional fee may be charged for excessive debris and litter.

18. Name/Person Reserving the Field*
19. Address*
21. City*
22. State*
23. Zip Code*
25. Phone*
26. Email Address*
28. Person in Charge at Rental*
29. Phone*
31. Organization*
33. Purpose of Rental (practice, tournament, fund raising event, etc.)*
35. Number of teams using the facility*
36. Will a registration fee be charged?*
38. How much? (Per Team)*
39. Will food or beverage be sold?*
43. Agreement

    THE UNDERSIGNED DOES HEREBY AGREE TO INDEMNIFY AND SAVE HARMLESS THE CITY OF NORTH MIAMI FOR ANY DAMAGES INCURRED BY THE CITY OF NORTH MIAMI RESULTING DIRECTLY OR INDIRECTLY FROM USE BY THE UNDERSIGNED OF THE FACILITY.

    THIS INDEMNIFICATION SHALL INCLUDE NOT ONLY PHYSICAL DAMAGE TO PROPERTY OF THE CITY (INCLUDING CLEANING THE FACILITY), BUT ALSO ANY CLAIMS BY THIRD PERSONS FOR INJURIES OR PROPERTY DAMAGE RESULTING FROM SUCH USE DUE TO NEGLIGENCE OR INTENTIONAL ACTS OF THE UNDERSIGNED, ITS AGENTS, EMPLOYEES, WORKERS, HEIRS, INVITEES, ADMINISTRATORS OR ASSIGNS.

    WHEN RESERVING FACILITIES FOR FILMING
    Proof of liability insurance must be provided. Police and/or Security will need to be arranged by the renter with the police department 30 days prior. If a reservation is cancelled, a full refund less $20.00 administrative fee will be made if written notice is received at least 30 days prior to the date of the reservation. If a reservation is cancelled with written notice within 30 days of the rental, a$200 fee will be assessed. If a reservation is cancelled with written notice one week prior to the rental date, a $500 fee will be assessed.

45. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
47. Electronic Signature*
48. Date*
    Date
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field