somewhat typical in many various forms… except I didn’t know how to format the small print here…
I, the above-named person, acknowledge that I have been invited as a guest to enjoy the facilities, buildings, and premises known as XXXXXXX Retreat and Campground and XXXXXXX Center, Inc. (ABC). I am aware that outdoor activities (such as swimming, rock climbing, and hiking) and the use of any equipment, shelter, or other facilities (including, for example, tents, cabins, campfires, and grills) can be hazardous. I am also aware that natural occurrences (such as lightning, high winds, rainstorms, and flash floods) and wildlife (such as bears, snakes, raccoons, and yellow jackets) can be unpredictable and dangerous, and that consuming animals, vegetation, water, and other substances found on or around the Premises can be harmful. I acknowledge that I have read and will adhere to the attached list of cautions and further agree to abide by any rules or regulations and to follow any guidelines or instructions that the ABC Staff may provide orally or in writing. I understand that adhering to the list of cautions or abiding by such rules, regulations, guidelines, or instructions does not guarantee my safety. I hereby assume all risks of injury, loss of life, and damage to persons or property (including pets). I further release, indemnify, and hold harmless, including without limitation XXXXXXX
Center, Inc., its Officers, Stockholders, Staff, Investors, and Volunteers, as well as the owners of the facilities, buildings, and premises, from and against any and all liabilities, claims, demands, costs, losses, expenses, or compensation of whatever nature in connection with any loss, damage, or
injuries to persons and property caused or sustained by me, members of my family, my guests, pets, or companion animals.
(If you have children, please fill in this information:
I certify that I am the parent, legal guardian, supervisor, or responsible person of the following minor child(ren)
_________________________________________________________________________________________________________ name(s), age(s).
I assume all risks and responsibilities for the safety and well-being of such minor child(ren) and am entering into this Liability Waiver and Indemnity
on behalf of such minor child(ren). In the event I become incapacitated or am unable to give instructions or otherwise make my wishes known, I give
the ABC Staff and/or Volunteers of XXXXXXXX, Inc. and any of their agents, representatives, or other persons acting on their behalf, full power and authority to make any decisions, contact any persons, or otherwise perform any actions that they may deem necessary and appropriate under the circumstances. I specifically understand and acknowledge that my giving of such authority does not create any obligation on the ABC Staff or others named above to make any decisions, contact any persons, or otherwise perform any actions on my behalf. I hereby release, indemnify, and
hold harmless the Officers and others named above from and against any and all liabilities, claims, demands, costs, losses, expenses, or compensation of whatever nature in connection with any action taken or not taken by them on my behalf for my children or any children in my care.
I understand that ABC does not tolerate drunkenness, the appearance of drunkenness, loud arguing, threats or violence of any kind, or loud noises during quiet hours, or harassing or disturbing other campers. If. in the opinion of the staff, I am engaged in any of this, or anyone with
me is engaged in any of this, all associated persons will be required to leave the campground immediately without a refund.
All sites are presumed free of damage, broken glass, or other serious issues. If this is not the case, I must notify staff in writing within 4 hours of my arrival. Sites with significant cleanliness or damage issues will be subject to a service fee of $50.00 or actual damages, whichever is greater.
This Liability Waiver and Indemnity is binding on me, my heirs, agents, personal representatives, successors, assigns, and other persons acting or purporting to act on my behalf. My estate or I will reimburse the Stockholders for any and all costs and attorneys' fees in defending any lawsuits or
claims filed by me or on my behalf.
In case of an emergency, please contact the following person(s): Name___________________________________________________________
Relationship_____________________ Mobile Phone:____________________________ Home/Work Phone: __________________________
I have read the Liability Waiver and Indemnity statements above and the posted XXXXXXX Rules / Regulations / and Cautions and agree to be bound by and adhere to them:
________________________________________________________ (signature) ___________________ (date)
________________________________________________________ (signature) ___________________ (date)
________________________________________________________ (signature) ___________________ (date)
________________________________________________________ (signature) ___________________ (date)