ARLINGTON RENTALS, INC. d/b/a

COACHES CORNER RV PARK

103 HARGROVE ROAD EAST TUSCALOOSA, AL 35401

Mailing address: 101 Hargrove Road East Tuscaloosa, AL 35401

954-608-0311 OR 205-722-2048

CoachesCornerRVPark.com

2017 PARKING PERMIT REGISTRATION

NAME______TEAM AFFILIATION______

ADDRESS______CITY______STATE______ZIP______

PHONE: HOME______WORK ______CELL______

EMAIL ADDRESS______

RV/MODEL______TAG______LENGTH______FT. LOT ASSIGN____

MOTOR COACH____ 5TH WHEEL____ OR BUMPER PULL _____

TOW VEHICLE? YES___ NO___ MAKE/MODEL______TAG #______

EMERGENCY C0NTACT NAME______PHONE # ______

GROUP? YES___ NO____ COORDINATOR ______PHONE ______

SEASON PASS: $1,600 PAID WITH CHECK #______PAID ON______

PLEASE CALL IF YOU WOULD LIKE TO PAY WITH A CREDIT CARD, PAY PAL OR PAY PRO

THERE IS A 2.5% PROCESSING FEE FOR THESE TYPES OF PAYMENTS AND AMERICAN EXPRESS FEE IS 3.50%

___GAME WEEKEND PASS(ES) @ $275/GAME = $______CK. DATE______CK # ______

(IF NOT PURCHASING SEASON PASSES) PLEASE CHECK GAME(S) YOU WILL BE ATTENDING AND GIVE US YOUR BEST ESTIMATE OF YOUR ARRIVAL DAY TIME (ETA):

____ 9/9 FRESNO STATE ETA______9/16 COL STATE ETA______

____ 9/30 OLE MISS ETA______10/14 ARKANSAS ETA______

____ 10/21 TENNESSEE ETA______11/4 LSU ETA______

____ 11/18 MERCER ETA______

TERMS AND CONDITIONS OF LIMITED LICENSE TO USE THE RV PARK

THE UNDERSIGNED REQUESTS A LICENSE TO PARK A RECREATIONAL VEHICLE ("RV") AND A TOW VEHICLE, IF APPLICABLE, AT ARLINGTON RENTALS, INC.d/b/a COACHES CORNER. SITES WILL BE ASSIGNED BY ARLINGTON RENTALS, INC. THE UNDERSIGNED AGREES TO USE AND TO REQUIRE UNDERSIGNED'S AGENTS, SERVANTS, EMPLOYEES, FAMILY, FRIENDS, GUESTS, AND INVITEES TO USE THE PROPERTY IN ACCORDANCE WITH THE RULES. THE UNDERSIGNED AGREES NOT TO USE THE PROPERTY, OR TO ALLOW THE PROPERTY TO BE USED IN ANY ILLEGAL MANNOR OR IN ANY MANNER WHICH INTERFERES WITH USE AND QUIET ENJOYMENT OF OTHERS ON THE PROPERTY. ANY ILLEGAL OR IMPROPER USE OF THE PROPERTY SHALL LEAD TO A TERMINATION OF UNDERSIGNED'S LICENSE AND EVICTION FROM THE PROPERTY WITHOUT REFUND.

THE UNDERSIGNED, ON BEHALF OF THE UNDERSIGNED AND THE UNDERSIGNED'S AGENT, SERVANTS, EMPLOYEES, FAMILY, FRIENDS, GUESTS, INVITEES, HEIRS, EXECUTORS AND ASSIGNS, HEREBY AGREES TO DEFEND, INDEMNIFY, HOLD HARMLESS AND FOREVER RELEASE AND DISCHARGE ARLINGTON RENTALS, INC. d/b/a COACHES CORNER, AND ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES AND/OR CONTRACTORS FROM ANY AND ALL CLAIMS, DEMANDS, ACTIONS, CAUSES OF ACTION, FINES, FEES, AND/OR EXPENSES (INCLUDING REASONABLE ATTORNEY FEES AND LITIGATION COSTS) OF EVERY KIND AND NATURE, IN CONTRACT, TORT, OR OTHERWISE, DIRECT OR INDIRECT, PAST, PRESENT OR FUTURE, KNOWN OR UNKNOWN, WHICH MAY ARISE OUT OFOR RELATED TO THE PARKING OF THE RV ON THE PROPERTY, OR USE OF THE PROPERTY. THE UNDERSIGNED ASSUMES ALL RISKS OF USE OF THE PROPERTY ON BEHALF OF THE UNDERSIGNED AND THE UNDERSIGNED'S AGENTS, SERVANTS, EMPLOYEES, FAMILY, FRIENDS, GUESTS, INVITEES, HEIRS, EXECUTORS AND ASSIGNS. THIS APPLICATION, INDEMIFICATION, DEFENSE AND ASSUMPTIONS OF LIABILITY IS UNDERSTOOD AND BEING VOLUNTARILY AGREED TO BY THE UNDERSIGNED.

I AGREE WITH THE RULES AND REGULATIONS OUTLINED ON THE WEB SITE UNDER THE MORE TAB.

SIGNED BY______ON THIS ______DAY OF ______20 .

REVISED 4/9/17 ___CA ___R&M __ MGR __GR __D __PE __C