2. Program Application
   This application is for renewing an existing program/class/camp to be hosted at a MJ Parks & Recreation facility.
4. Business/Organization*
6. Desired Facility
   -- Select One --Meeting Room AMeeting Room BMeeting Room CGymOther
7. Desired Days & Times
9. Primary Contact
11. First Name*
12. Last Name*
14. Mailing Address*
16. Address2
18. City*
19. State*
20. Zip*
22. Phone Number*
23. Email Address*
25. Secondary Contact
27. First Name
28. Last Name
30. Phone Number
31. Email Address
35. Program Information
37. Program Name*
38. Per Participant Fee*
40. Does the instructor have any certifications?*
    -- Select One --NoYes
41. Certifications
43. Additional Questions or Coments
47. Publication Information
    This person is responsible for answering questions from participants.
49. First Name*
50. Last Name*
52. Phone Number*
53. Email*
55. Marketing & Promotions
    MJ Parks & Rec is here to support your efforts in every way possible. We will include you in our newsletter, website, social media, etc. However, the most successful programs do most of their own marketing. If you need assistance, please contact MHarris@MtJuliet-TN.gov for a social media startup guide.
57. Program Description*
    2-3 sentences for our website & newsletter.
59. Website
60. Facebook Page
62. Twitter
63. Instagram
65. You Tube Channel
66. Other
68. Promo Agreement*

    I understand that it is my sole responsibility to promote my program and promotions by MJ Parks & Rec are a bonus.

    1. I agree
70. Cross Promotion Agreement*

    Whereas MJ Parks & Recreation will provide support marketing services, I hereby agree to link to MJParksandRec.org on my website and tag @MJParksandRec in ALL social media posts relating to classes described in this agreement. Failure to do so will result in MJPRD to cease all marketing assistance.

    1. I agree
72. Logo Agreement*

    I understand and agree to include MJPRD's logo on ALL printed materials related to classes described in this agreement.

    1. I agree
76. User Agreement*

    I have read the Program Policies & Procedures and agree to abide by these guidelines as well as all ordinances and regulations of the City of Mt. Juliet and by all the conditions placed on the program by the Mt. Juliet Parks & Recreation Department. I do swear and affirm that all of the information given is true and complete. I understand that submitting this application does not guarantee approval.

    1. I agree
78. Indemnification*

    In consideration of the City of Mt. Juliet and the Mt. Juliet Parks & Recreation Department granting license to host a program on property owned by the City of Mt. Juliet, I hereby Indemnify and hold harmless the City of Mt. Juliet, the Mt. Juliet Parks & Recreation Department, its officers, agents, and employees from: Any claims, damages, costs and attorney fees for injuries or damages arising, in part or in whole, form the negligent or intentional acts or omissions of User, its officers, employees, and/or agents, including its sub or independent contractors, in connection with the performance of the Agreement. Any claims, damages, costs and attorney fees arising from any failure of User, its officers, employees, and/or agents, including its sub or independent contractors, to observe applicable law, including, but not limited to, labor laws and minimum wage laws. User shall pay City any expenses incurred as a result of User’s failure to fulfill any obligation in a professional and timely manner under the Agreement. I understand that I am responsible for my own general and product liability insurance. In the event that I fail to indemnify and hold harmless as herein agreed, the City of Mt. Juliet shall have full rights to defend, pay, or settle said claim on its behalf without notice to me and with full rights to recourse against me for all fees, costs, expenses, and payments made or agreed to be paid to discharge said claim. In the event of default, I further agree to pay all reasonable legal fees and expenses necessary to enforce this agreement. This agreement shall be unlimited as to amount and duration.

    1. I agree
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80. Submit

* indicates a required field