Waiver and Release of Liability
Eclipse at the Point
Point Remove Events, LLC
Waiver and Release of Liability Form
Read, Acknowledge, and Sign
In order to reserve a campsite, participate in the event, and/or to access the premises known as Eclipse at the Point the responsible (principal) party (18 years of age or older) must read, acknowledge, and sign the Waiver and Release of Liability form below online or in person at the time of check-in. All other adult members of the party must also sign the release prior to entry. If any participant is under 18 years of age, the parent or guardian must sign consent of the minor’s participation in the event and individually and on behalf of the child to the terms of the waiver and release of liability for all minor participants form. No one will be admitted into the premises without a signed release form on record.
DISCLAIMER: This event is being held in a rural unimproved area that has various wildlife in their natural habitat and contains naturally occurring land features such as creeks and bluffs. This event is being held at a time when it is unforeseen as to the accessibility of emergency personnel should an emergency situation occur. Be aware that some risks are seen and some risks are unforeseen. By signing this waiver, you acknowledge that you have read, understand and agree with these statements.
Waiver and Release of Liability
I,__________________________________(Name), at_______________________ _________________________________(Address) (herein referred to as Releasor) hereby assume all risks of participating in any and all activities being conducted by Deborah Ford, and by Point Remove Events, LLC, its principals, officers, directors, members, agents, and employees at 755 Churchill Road, Atkins, Arkansas 72823 (herein referred to as the Releasees) on the dates of April 4 through April 9, 2024 during the event Eclipse at the Point. In consideration of permitting me to access and/or camp on the above-described property and to participate in the activities being conducted surrounding the solar eclipse of April 8, 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 principals, officers, directors, members, agents, and employees 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 principals, officers, directors, members, agents, and employees, or a third party, collectively the activity and event, from all costs or expenses that may be incurred, from all losses, liabilities, damages, 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.
C). I HAVE READ AND AGREE to abide by all camp rules. Failure to abide by the rules can result in removal from the property with no refund.
D). I HAVE READ AND AGREE to all TERMS AND CONDITIONS.
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.
Name______________________________________________________
Address_____________________________________________________
_____________________________________________________
Email Address________________________________________________
Date of Birth_____/_____/______
Signature____________________________________________________
Date_____/______/_______
Waiver and Release of Liability All Minor Participants
This is an attachment to the Waiver and Release of Liability form read, acknowledged, and signed by the responsible(principal) party above. The undersigned responsible party is either the parent or legal guardian OR has authority to act as minor(s) responsible party and does hereby represent that he/she is, in fact, acting in such capacity, has consented to such minor(s) accessing and/or camping on the above-described property and to participate in the activities being conducted surrounding the solar eclipse of April 8, 2024, and has agreed individually and on behalf of the minor(s), to the terms of the waiver and release of liability set forth above. The undersigned responsible party further agrees to save and hold harmless and indemnify each and all the parties above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor(s) and the parents or legal guardian.
Number of Minors listed below______
-
Name of Minor_________________________________________________
Address(if different)_____________________________________________
Date of Birth_____/_____/_______
2. Name of Minor________________________________________________
Address(if different)____________________________________________
Date of Birth_____/_____/_______
3. Name of Minor________________________________________________
Address(if different)____________________________________________
Date of Birth_____/_____/_______
4. Name of Minor________________________________________________
Address(if different)____________________________________________
Date of Birth_____/_____/_______
​Printed Name of Responsible(Principal)party_______________________________
Signature of Responsible(Principal) party__________________________________
Date_____/_____/_______
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Witness Name_____________________________________________
Witness Signature__________________________________________
Date____/____/_______