2. 

   
   

   Office of The Constable

   Kathryn Brown

   Bexar County, Precinct 4

6. IMPORTANT NOTICE:
   THE COMMUNITY ROOM WILL BE LIMITED TO ONE EVENT BOOKING PER MONTH PER ORGANIZATION.

8. Community Room Request

   This agreement is made and entered into by the Constable’s Office Precinct #4 and the applicant to enable applicant to use and occupy the community room located at 2711 SE Loop 410 S, San Antonio, Texas 78222 on the terms and conditions set forth herein. No reservation is confirmed until this application is completed and is approved by the Constable’s Office Precinct #4. Any questions should be directed to Lupe Bueno at 210-335-4958.

   PLEASE READ COMMUNITY ROOM RULES, WAIVER AND RELEASE OF LIABILITY AGREEMENT BEFORE SIGNING APPLICATION

10. Applicant's First Name*
11. Applicant's Last Name*
13. Applicant's Address*
14. City*
15. Zip*
17. Applicant's Phone Number*
18. Applicant's Email:*
20. Organization/School/Community Affiliation
24. Event Information
26. Date of Event*
    Date of Event

    All requests must be made at least 30 days in advance. Once submitted, please allow 72 hours for a response.

27. Number of Attendees*

    Please Note: Max of 45 attendees

28. Time of Event*
    Time of Event Start Time

    —

    Time of Event End Time
30. Event Description*
34. Waiver and Release of Liability Agreement for Community Room Request

    Applicant desires to use the community room located at 2711 SE Loop 410 S, San Antonio, Texas 78222. In consideration of being permitted to use the community room, the undersigned applicant waives, releases, and discharges Bexar County and/or the Constable’s Office Precinct #4, its officers, agents, directors, volunteers and employees from all liability for any loss or damage whatsoever, including personal injury, death, property damage, medical expense and any other type of expense whether caused by the active or passive negligence of the County, while the undersigned applicant is in, upon or about the facility premises. The applicant also acknowledges, agrees and represents that he/she has or immediately upon entering will, inspect the premises and community room. It is further agreed that entry and/or use of the community room constitutes an acknowledgment that the facility and all equipment thereon have been inspected and that the applicant finds and accepts the facility and equipment as being safe and reasonably suited for use. The applicant accepts the facility in its present condition and is without representation or warranty by the County as to the condition of the facility, or as to the use or occupancy which may be made of it. Applicant also agrees to release, hold harmless, defend and indemnify the County and/or the Constable’s Office Precinct #4 from any and all liability for any loss, injury and/or damages to any third party arising out of the use of the facility by the third party pursuant to this application. By signing this form, applicant acknowledges that he/she has read and understand the Community Room rules, waiver and release of liability agreement and will abide by all stipulations set forth in this agreement. Use of the community room is subject to the Constable’s Office Precinct #4 approval.

36. Please review all the rules posted to the Community Room
    Review the Community Room Rules
38. I have read the rules*

    1. Yes

    1. No
40. By initialing you agree to the waiver, release of liability agreement and the Community Room Rules.
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field