Agreement Template - Rhode Island Department Of Environmental Management

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STATE OF RHODE ISLAND
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Division of Parks and Recreation
AGREEMENT
On this _________________day of __________________, 20__________
_______________________________ (hereinafter “User Group”) and the State of Rhode
Island Department of Environmental Management, Division of Parks and Recreation
(hereinafter “Division”) the parties to this agreement, state that:
Whereas, User Group is an organization desiring to obtain a permit and/or pass
allowing its members to use State Facilities; and,
Whereas, some or all members of user group are or may be under the age of
eighteen (18) years; and,
Whereas, Division is concerned with the Health and Safety and right of quiet
enjoyment of the General Public, other users of the facility and the members of User
Group, and is future concerned with the proper use of the facility;
Now, therefore, in consideration of mutual covenants and agreements contained
herein. Division will issue such permit and/or pass provided that User Group at all times
Provides adequate adult supervision for the members of its group under the age of
eighteen(18) years to ensure their and proper use of and respect for the facility as well as
ensuring the safety and right to quiet enjoyment of other users and the Public in General.
DIVISION OF PARKS AND RECREATION
BY____________________________________________
Authorized Signature
NAME OF USER GROUP: _________________________
SIGNATURE: ________________________TITLE_____________________________
STATE OF RHODE ISLAND
______________________________,sc
In _________________on this ________________ day of ___________, 20 ____
Before me appeared _______________________to me known and known by me to be the party
executing the foregoing document and he/she acknowledged said document, by him/her
so executed, to be his/her free Act and Deed and the free Act and Deed of
_______________________________.
________________________________________
Notary Public
Commission Expires: ________________

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