During my use of the rooftop gas BBQ, on

Date

Time

I,

Name

Unit #

agree that I have already filled out the BBQ booking form for First time use and agree to all the statements.

I agree to release and discharge to indemnity and save harmless Hugh Garner Housing Co-op and all its staff and volunteers against all claims or proceeding by whoever made or brought in respect of any costs, losses, damage or injury arising by reason of my use of the BBQ on the Roof deck.

Type Signature

Today's Date