1001.3-E Use of Unmanned Aircrafts/Drones Hold Harmless Agreement

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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 Community School District 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: 602.1; 1001.3