Womelsdorf, PA · Berks County

No notary required

Facilities Use and Hold Harmless and Release Agreement

This agreement lets a person or organization request use of Womelsdorf Borough property and accept responsibility for its use, damage, and related risks.

What this form is

Users complete this agreement when arranging to use Womelsdorf Borough property. It identifies the property and dates of use and sets out the user's responsibilities, facility rules, and release and indemnification terms. It also requires a certificate of liability insurance before use, describes a security deposit for key pickup, and provides spaces for signatures and the date.

Who needs it

A person or organization planning to use Womelsdorf Borough property should complete this agreement and follow its listed requirements.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This agreement is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Agreement

    Download the Facilities Use and Hold Harmless and Release Agreement.

  2. 2

    Complete The Agreement

    Identify the Borough property and dates of use, review the rules and terms, and sign and date the agreement.

  3. 3

    Gather Required Documents

    Prepare the required certificate of liability insurance or evidence of a qualifying homeowner's insurance endorsement or rider.

  4. 4

    Submit To The Borough

    Submit the agreement to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Womelsdorf facilities use agreement for?
It sets out the user's responsibilities, facility rules, and release and indemnification terms for use of Womelsdorf Borough property.
What should I provide before using the property?
The agreement requires a certificate of liability insurance before use, with the Borough listed as an additional loss payee, or evidence of a qualifying homeowner's insurance endorsement or rider.
Do I need a notary for the Womelsdorf facilities use agreement?
No. The agreement is signed and dated without a notary, and it does not identify an attachment or related step that must be notarized or sworn.
How do I submit the Womelsdorf facilities use agreement?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Facilities Use and Hold Harmless and Release Agreement doesn’t need a notary — but if you have another Womelsdorf form that does, a commissioned online notary can help.