Senior Citizen Center Reservation

Are you a resident of West Carrollton within the City corporation limits? Do you pay West Carrollton tax? Do you own property in the city limits?

In consideration of accepting this Senior Citizen Center reservation, I, on behalf of said group(s) release any and all rights and claims for damages we may have against the City of West Carrollton Parks and Recreation Department and its representatives, successors and assigns for any and all injuries suffered by myself and any guest of said group(s). I do hereby grant and give these groups the right to use a group photograph or image with or without names, both singly and in conjunction with other persons or objects for any and all purposes including, but not limited to private or public presentations, advertising, publicity and promotion relating thereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of West Carrollton Parks and Recreation Department harmless of and from any and all liability of whatever nature which may arise out of result from such uses. For the consideration stated above, I further agree that in the event any person of said group(s) repudiates or attempts to repudiate such release, I will personally indemnify and save harmless the City of West Carrollton Parks and Recreation Department, its successors and assigns, for any and all loss and damage occasioned thereby.

I understand that my reservation is not complete until I receive an e-mail confirmation that my requested date and location is available. I will have 24 hours to pay a $50 deposit as well as a $50 facility use fee for residents or $100 for non residents.

The Senior Citizen Center Community Room may only be used for non-profit events. Smoking is prohibited. Alcohol is prohibited. Open flames (candles, etc.) are not permitted. The city is not responsible for lost items.