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1001.3-E Use of Unmanned Aircraft [Drones] Hold Harmless Agreement

Click here to download the Unmanned Aircraft [Drones] Hold Harmless Agreement


I, _____________________________________, understand that my use of an unmanned aircraft 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.

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: __________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Applicant's Signature: __________________________________ Date: _______________

Printed Name: _______________________________________________________________

Approved: ______________________ Denied: ______________________

Superintendent's Signature: _________________________________ Date: ___________


Adopted: 6/16
Reviewed: 7/19; 7/22
Revised: 7/25
Related Policy: 602.1; 1001.3