Citizen Action Center

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 Park Facility Reservation
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*Best phone number to contact you during the day.
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*Facility Requested.
 Facility Requested.
 
 I will hold harmless the City of Fairborn, its elected officials, officers, employees,
volunteers, servants, and agents of from any and all actions, claims, demands for damages, costs, loss
of services, expenses and compensation, on or account of, or in any way growing out of, any and
all personal injury or property damage which may result to groups or individuals as a result
of the activity at the facility.

I have read the reservation conditions and park rules and agree to all of them; I also
have the authority to commit to this agreement.
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