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Bench Sponsorship Application

  1. Is this bench for a club or community group? *
  2. Bench Selection & Customization
  3. Palm Bench
    Palm Bench
    Price: $1,758
    Includes taxes, delivery, installation, inscription (on both ends of bench) and skateboard deterrents. Additional charges may be applied for custom logo or premium location placement.
  4. El Monte Bench
    El Monte Bench
    Price: $2,457
    Includes taxes, delivery, installation, inscription (on back of bench), and skateboard deterrents. Additional charges may be applied for custom logo or premium location placement.
  5. Which bench would you like to sponsor?*
  6. Bench locations are based on availability only, and your preferred location may not be available. All locations must be approved by the Canyon Lake POA. The Canyon Lake Lodge is considered a premium location and will be an additional $450. These funds are used for further community beautification.
  7. The standard inscription is your family name or club name, and the current year. We kindly request that no birth or death dates by used. Logo artwork may be used, for an additional cost.
  8. Release from Liability*
    I / We hereby fully release, waive, and discharge the Canyon Lake POA, its members, directors, officers, representatives, administrators, agents, partners, employees, attorneys, insurers, successors, and assigns, from any and all past, present or future claims, damages, actions and causes of action, of whatever kind or nature whether known or unknown, suspected or unsuspected, including, but not limited to, claims based on negligence and / or wrongful death, based on, arising out of or in connection with my donation.

  9. Indemnity*
    I / We hereby agree to indemnify and hold harmless the Canyon Lake POA, its members, directors, officers, representatives, administrators, agents, partners, employees, attorneys, insurers, successors, and assigns, from any and all claims, damages, actions, cause of action, liabilities, loss costs, attorney’s fees and any other expenses, based on, arising out of or in connection with my donation.

    I / We, the undersigned, do hereby acknowledge that I / We hereby make this contribution to the Bench Sponsorship Program by offering the selected bench as indicated above. Once the order is placed, I / We agree to provide payment (non-refundable) to Canyon Lake Property Owners Association by means of a check or credit card for the total donation amount as indicated.

    1. Electronic Signature Agreement*
      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    2. Leave This Blank:

    3. This field is not part of the form submission.