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1001.3-E Hold Harmless Agreement Regarding Use of Unmanned Aircraft/Drones

Click here to download the Hold Harmless form


I, _____________________________________, understand that my use of an unmanned aircraft/drone on Linn-Mar Community School District property carries with it the potential for certain risks, some of which may not be reasonably foreseeable.

By signing this agreement I agree to release, indemnify, and hold the Linn-Mar CSD harmless from any claims of harm to individuals or damage to property due to the operation of an unmanned aircraft/drone.

I have provided proof of insurance and appropriate registration and authorization by the Federal Aviation Administration (FAA).

  • Insurance policy number: __________________________________
  • FAA registration number: __________________________________
  • Date(s) of aircraft/drone operation: ___________________________

Reason for use of unmanned aircraft/drone: ____________________________________________

Applicant's Signature: __________________________________ Date: ______________________

Printed Name: ____________________________________________________________________

Approved: ______________________ Denied: ______________________

Superintendent's Signature: _____________________________ Date: _______________________


Adopted: 6/16
Reviewed: 7/19; 7/22
Related Policy (Code #): 602.1; 1001.3
Legal Reference (Code of Iowa): §§ 279.8; IHSAA Drone Policy