RELEASE FORM | Solar Eclipse at Mou

We must have a separate Waiver filled out for each person 18 yrs and older. Minors can be listed on their parents' Waiver.

Waiver & Release of Liability Form

First name

Last name

Date of Birth

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Do you have any children accompaying you to this event?

Yes

Please list all names & ages of children coming with you to this event

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* You must be 18 years of age or older in order to reserve a campsite. No guests will be permitted onto the property without a signed release form.

Waiver and Release of Liability

I, _______________________ (NAME LISTED ABOVE) , at _________________________________ (ADDRESS LISTED ABOVE) (herein after referred to as Releasor) hereby assume all risks of participating in any and all activities being conducted by Mount Eagle Farm or Eric and Heidi Myers (herein after Releasees) at 861 Whipple Ridge Road, Fox, Stone County, Arkansas during the Camping Dates: April 5th at Noon to April 10th, 2024 and Event: 2024 Solar Eclipse at Mount Eagle. 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 Releasees, their officers, directors, members, employees and agents, collectively releasees from any and all liability, including but not limited to, liability arising from the negligence or fault of the releasees, for personal injury, death or disability, property damage, theft or actions of any kind which may occur at the property or while participating in the event.
B) I INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE Releasees, their officers, directors, members, employees and agents, collectively releasees from any and all liabilities or claims made as a result of participation in this activity and event, whether caused by the releasees or a third party. I acknowledge that releasees 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.

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this Waiver & Release from liability for accidental injury, illness, or any other loss which may occur as a result of participating in this event. I hereby assume all risks connected therewith and consent to participate in this event. I agree to release the Host of any liability.

I agree to abide by the Camp Rules posted on this site.

I understand there will be NO REFUNDS!

Sign here if you agree to this Waiver & Release of Liability Form

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We must have a separate Waiver filled out for each person 18 yrs and older. Minors can be listed on their parents' Waiver.

Waiver & Release of Liability Form

Review Or Sign Online

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Waiver and Release of Liability