Name

NWHCMUD #24 Water Bill Account No:

*This Field is Required. We Will Not be Able to Process Your Request Without Your Account No.

Telephone Number

Email Address

Name of Event

Requested Rental Date

Requested Rental Time

*Maximum event availability is 4 Hours.

Number of Guests:

*Any event over 35 people requires Security Personnel.

Will alcohol be served?
YesNo
*Any event with alcohol requires Security Personnel.

WAIVER OF LIABILITY

THE UNDERSIGNED (APPLICANT) HEREBY MAKES APPLICATION FOR USE OF THE NORTHWEST HARRIS COUNTY MUNICIPAL UTILITY DISTRICT NO. 24’S ACTIVITIES BUILDING (THE DISTRICT) ON THE DATE OR DATES INDICATED. THE APPLICANT UNDERSTANDS AND AGREES THAT THE DISTRICT DOES NOT, BY ALLOWING RENTAL AND USE OF DISTRICT FACILITIES, ASSUME AND RESPONSIBILITY TO THE APPLICANT, APPLICANT’S EMPLOYEES, GUEST, OR INVITEES. THE APPLICANT, ON BEHALF OF THE APPLICANT, ITS EMPLOYEES, GUESTS, INVITEES, ASSUMES ALL RESPONSIBILITY FOR AND WAIVES AND CLAIM FOR COMPENSATION FOR ACCIDENTAL INJURY, PROPETY DAMAGE, OR DEATH RESULTING FROM THE USE OF THE ACTIVITES BUILDING, AND AGREES TO INDEMNIFY AND HOLD HARMLESS THE DISTRICT, ITS DIRECTORS, AGENTS, EMPLOYEES, AND CONSULTANTS, WHETHER PAID OR VOLUNTEER, FROM ANY AND ALL CLAIMS LIABILITIES, LOSSES, DAMAGES, COSTS, EXPENSESL DEMANDS AND CAUSES OF ACTON OF ANY KIND AND CHARACTER OCCURRING OR ANY INCIDENT IN CONNECTION WITH OR ARISING OUT OF THE USE BY APPLICANT, ITS EMPLOYEES, GUESTS OR INVITEES, WHICH MAY ARISE OUT OF APPLICANT’S USE OF THE DISTRICT’S ACTIVITES BUILDING. THE APPLICANT HAS READ AND AGREES TO ABIDE BY THE DISTRICT’S RULES AND REGULATIONS CONCERNING USE OF THE DISTRICT’S RULES AND REGULATIONS CONCERNING USE OF THE DISTRICT’S ACTIVITIES BUILDING.

*Failure to follow any of the District’s policies may result in forfeiture of all or part of the cleaning and damage deposits, fees, and cancellation of the reservation. All current District policies apply to the use of the Northwest Harris County Municipal Utility District No. 24 Activities Building and any related facilities.

I agree that I have read and agrees to the above, the Waiver of Liability, the District’s Activities Building General Use and Reservation Policy, and the District’s Alcohol Policy:
I Agree

Name

Date