Please read carefully and sign stating that you understand and accept this information.
I hereby state that I am at least twenty-one (21) years of age.
I understand that I am responsible for the actions of the guests and their abidance to the applicable Ordinances of the Borough of Wyomissing incorporated hereto my reference.
I hereby further agree to indemnify and hold harmless the Borough of Wyomissing and its directors, officers, employees, agents and their representatives, heirs, successors, and assigns, of and from any and all claims, causes of action, losses, injuries, damages, demands, judgement, penalties, and the like, including but not limited to, attorneys' fees and expenses incurred by the Borough in connection therewith, arising out of the Block Party referenced above.
I further understand that under penalties of 18 Pa.C.S.A. §4909 relating to unsworn falsification that the information set forth above is true and correct to the best of my knowledge, information, and belief.