Bethel Public Library

189 Greenwood Avenue, Bethel, CT 06801

203-794-8756   Fax 203-794-8761









            I, the undersigned, hereby lend the following works of art or other material to the Bethel Public Library for exhibit purposes only.  In consideration of the privilege of exhibiting them in the library, I hereby release said library from responsibility for loss, damage, or destruction while they are being displayed at the Library.


            Further, I hereby agree to indemnify and save harmless the Town of Bethel, its agents and employees from all loss and/or expense (including all costs and attorney’s fees) arising out of or resulting from the exhibit by reason of liability imposed by law upon the Town of Bethel, its agents and employees from damages because of bodily injury, including death, at any time resulting there from, sustained by any person or persons or on account of damage to the property, including the loss of use thereof, whether such injuries or damages are caused in whole or in part by the negligence of the exhibitor, its agents, servants, patrons, and/or employees.


Exhibit/display to be held in the                                                                                                        


Date(s)/Month of exhibit/display                                                                                                       


Description of materials loaned                                                                                                         








Exhibitor/Contact name                                                                                                                     


Phone                                      A.M.                                        P.M.    E-mail                                     


Permanent address                                                                                                                             




Signature                                                                     Date                                                               



Approved by the Library Board of Directors                         July 22, 2002