Total Party Cost $70 Contact First Name * Contact Last Name * Contact Phone Number * Address * City * State * Zip Code * Email Address * Shirt Size * Day Requested * Saturday: 1:00-3:00pm Saturday: 2:00-4:00pm Sunday: 1:00-3:00pm Sunday: 2:00-4:00pm Proposed Date of Party * Extra Court Yes, I would like to request the second court for the two hours of the party at $25/hr. You have the option to reserve the second basketball right next to the one for the party. This will give the party both courts exclusively for the two hours of reservation. The cost of the additional is $25 per hour. Number of Participants Expected * RESERVATION POLICIES Please check after reading & understanding each policy. Policy 1 * The entire party cost must be paid prior to being eligible to receive the requested party date and/or time. Policy 2 * The facility holds multiple events and, at times, space may be limited due to numerous participants and/or spectators. Policy 3 * The basketball party fee is non-refundable. Policy 4 * There are 2 courts in one Gym are and I will be reserving only 1 court. The other court next to it is still open to members & students at all times unless you select the option to reserve the other court as well. Notification of Risk * In consideration of Fairmont State’s allowance of my participation in the Falcon Center, I agree to the extent permitted by law, to release, waive, forever discharge, and covenant not to sue Fairmont State, its governing board, officers, agents, employees, and any students acting as employees, from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of actions, costs, and expenses of any nature which I may have or which may thereafter accrue to me, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by me or by any property belonging to me, in connection with my participation, due to my own negligence or from incidents not specifically attributed to the negligence of Fairmont State, the Falcon Center, the State of West Virginia, its employees, and officials or agents of any and all of the foregoing. I understand that my participation is voluntary and I recognize that there are risks and hazards inherent in my participation to myself and to others, and I assume all responsibility and risk associated with my participation.