Library Services Exhibit Release Form

2. In consideration of being permitted to display my artwork in the Belgrade Community Library, the undersigned hereby assumes liability and agrees not to hold the Belgrade Community Library or the City of Belgrade, its officers, agents, or employees responsible for any loss, damage, destruction, or other claim arising out of, resulting from, or occurring in connection with said display.

   Further, I agree to indemnify and save harmless the Belgrade Community Library and the City of Belgrade, its officers, agents and employees from and against all losses, damages, penalties, claims, actions, suits, costs, expenses and disbursements, including legal expenses of whatsoever kind or nature arising out of, resulting from, or occurring in connection with this display.

4. Electronic Signature Agreement

   By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

   1. I agree.
6. Electronic Signature
7. Date
   Date
9. Witness
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11. 1. Receive an email copy of this form.
12. Email address

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13. Submit

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