Facilities Usage Form

Note: In addition to completing this form, you must also complete the Facilities Usage License Agreement.

Today's Date(Required)
If tax exempt, please indicate sales tax exempt number here
Contact Person Name(Required)
Person Making Request(Required)
Address(Required)
Sodexo Food Services(Required)
Contact Food Service Manager at (207) 834-7545 for further information
Audio Visual Services(Required)
Constable Required(Required)
Please enter a number greater than or equal to 1000000.
($1,000,000 minimum required)
Expiration date of certificate(Required)

Acceptance of his request does not constitute approval. Reservations are confirmed subject to requirements and policies of the University af Maine at Fort Kent. As an authorized representative or sponsor of the above organization, I affirm that I/we are familiar with and agree to abide by the rules governing the use of university facilities, and I/we accept responsibility for any damages, loss, or theft of university equipment and property, including all charges incurred. I/we also affirm that I/we will be on site at all times when the reserved facility is in use.

The organization/group agrees to indemnify, defend, and hold the University harmless from and against any and all claims, suits, judgments, costs, and expenses (including reasonable attorney fees) that the University may become liable to pay or defend as the result of the acts or omissions of the organization/group, its employees, agents, volunteers, invitees, licensees or participants, or otherwise arising out of or in connection with the organization’s/group’s use of the premises pursuant to this Facilities Usage Agreement, except to the extent that such claims are the direct result of the nagligent acts or omissions of the University or its employees.

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