The undersigned is over 21 years of age and has read this form and attached regulations and agrees to comply with them. He/She agrees to be responsible to the municipality for the use and care of the facilities. He/She on behalf of:

does hereby covenant and agree to defend, indemnify, and hold harmless the Town of Forestport from and against any and all liability, loss, damages, claims, or actions (including costs and attorney fees) for bodily injury and/or property damage, to the extent permissable by law, arising out of or in connection with the actual or proposed us of the Town of Forestport's Property, facilities, and services by:

 The undersigned is over 21 years of age and has read this form and attached regulations and agrees to comply with them. He/she agrees to be responsible to the municipality for the use and the care of the facilities. He/she on behalf of:

 does hereby covenant and agree to defend, indemnify, and hold harmless the Town of Forestport from and against any and all liability, loss, damages, claims, or actions (including costs and attorneys fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of or in connection with the act or proposed use of the Town of Forest port’s property, facilities, and or services by:

Records Access Officer
Town of Forestport
12012 Woodhull Road, PO Box 137
Forestport, NY 13338

Re: Freedom of Information Law Request Records Access Officer:

As you know, the Freedom of Information Law requires that an agency respond to a request within five business days of receipt of a request. Therefore, I would appreciate a response as soon as possible and look forward to hearing from you shortly.

If for any reason any portion of my request is denied, please inform me of the reasons for the denial in writing and provide the name and address of the person or body to whom an appeal should be directed.

Sincerely,