Reservations Name* First Last Are you a KBC Tract Member?*NoYesPlease note Certificate NumberAre you a KBC Associate Member?*NoYesAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Type of Event*Number of Guests (150 max w/out State restrictions).*Date of Event* Date Format: MM slash DD slash YYYY Event Start Time* : HH MM AM PM Event End Time* : HH MM AM PM (please email: info@kalamabeachclub.com for any additional information)Additional Terms1. Additional usage fees are required for outside rentals (e.g. water slides, bounce houses, slush machines, etc.). 2. Deliveries may be made by using the left side of the Club House as you enter. Please see diagram below for clarification. 3. As a condition of this Reservation Agreement the undersigned hereby agrees to defend indemnify and hold harmless the Kalama Beach Club, the Kalama Community Trust and their officers, directors, trustees and members against any claims, actions suits, proceedings costs expenses damages and liabilities arising out of the event and the use of the property by the undersigned or any of the undersigned’s guests, vendors, caterers, contractors or invitees except for claims arising from the sole negligence or willful misconduct of the Kalama Beach Club, the Kalama Community Trust or their officers, directors, trustees, members, employees or agents. 4. The undersigned shall procure and maintain a policy of liability insurance with coverage limits of at least $1,000,000 for bodily injury and $300,000 for property damage for the event, naming Kalama Beach Club and the Kalama Community Trust as additional insureds. If alcohol will be consumed at the Event, the insurance policy shall include coverage for liquor liability. The undersigned shall provide to the Kalama Beach Club a certificate of insurance confirming coverage no later than 30 days prior to the Event.Signature*By signing above I acknowledge that I have received a copy of the KBC Rules and agree to abide by those rules and the terms and conditions set forth in this Agreement.Untitled