Waiver of Liability

Waiver and Release of Liability

I________________________________________(NAME of person booking and taking responsibility for the camp site.) (herein after referred to as Campers.) hereby assume all risks of participating in any and all activities being conducted by/at Raccoon Creek Camp, (herein after referred to as Owners) at 2055 Barber Road, Booneville, Arkansas.

Available Camping Dates: April 4th-10th, 2024. Event: 2024 Solar Eclipse In consideration of permitting me to camp on the above described property and participate in the activities being conducted surrounding the Solar Eclipse of April 8th, 2024. I hereby take action for myself, my executors, administrators, personal representatives, heirs, next of kin, successors, and assigns as follows:

A) I WAIVE, RELEASE AND DISCHARGE Owners, their officers, Directors, members, employees and agents, collectively the Owners from any and all liability, including but not limited to, liability arising from the negligence or fault of the Campers, for personal injury, death or disability, property damage, theft or actions of any kind which may occur at the property or while participating in any of the events.  With full knowledge of the inherent dangers that may be due to undeveloped property.  Areas marked with caution tape will be pointed out with pictures and in writing upon arrival to Raccoon Creek Camp.  

B) I INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE Owners, their officers, directors, members, employees and agents, collectively Owners from any and all liabilities or claims made as a result of participation in this activity and event, whether caused by the Owners or a third party. I acknowledge that Owners are not responsible for the errors, omissions, acts, or failure to act of any party or entity conducting or participating in the event.

This Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY.

____________________________________________        ____________________________________________  

First name of Camper (Print)                         Last name of Camper (Print)

______________________________________________________________________________________________

Street Address of Camper         City     State                               Zip Code

_____________________________________________________________      _____________________________

Signature                                                               Date mm/dd/yyy

_____________________________________________________________________________________________ Phone/Email or Additional Contact Information:

Campers and their group will not be permitted to property without this signed form on file.