In visiting Five Oaks on Warson, the Applicant releases the City and its elected and appointed officials, agents, servants, and employees (collectively, the "City"), from any and all liability for damages, whether due to injury to person or property, resulting from the use of the premises by any Permittee, which term includes the Applicant, the Applicant's agents, servants, employees, contractors, assigns, successors, invitees, or licensees, and any similar person or entity. The Applicant further agrees to indemnify and save harmless the City from and against any such damages and from any other loss, liability, cost, or expense, including attorney fees, that may be incurred by the City as a result of any claim, action, or suit asserted, brought, or filed by any Permittee. This Release and Indemnification shall apply and pertain to all claims and damages against the City, regardless of whether the Permittee's injury resulted from an act, omission, or negligence of the City, in whole or in part. I agree to allow use of my/our photograph for program publicity.

I have read and understand this Release and Indemnification and the City of Olivette Refund Policy. I agree to allow my photo to be used for City of Olivette and agree to abide by the Five Oaks Facility Use Policies.