The applicant is responsible for the activity.  The specific person on site in charge of the activity, if different than the applicant, needs to be stated above.  The person in charge during usage time represents the applicant and organization.

I have read and understand the rules and regulations for community use of school facilities.  I hereby certify that I am an agent of the above named organization and I am authorized to accept, in their name, the responsibility for observance of the rules and regulations for use of school facilities.  I further agree that the above named organization, its officers and members, shall be liable for claims arising from actions of its guests and attendees while using District 877 school facilities and grounds during the term of this event.