Liability Release For Use of

the McCrary Cabin – Lot 4 Hume Lake

Each and every guest must complete and return this release prior to visiting the cabin. Please deliver completed release forms to Ellen Rinde.

In consideration for permission to use the recreational residence at Lot 4, Hume Lake (64818 Yellowhammer Lane), use the boat (“Chipmouse”) and participate in other recreational activities at or around the cabin on __ /__ /20__ through __/__ /20__, I, _________________________, agree to respect the rights and wishes of the cabin owners as well as the rules of the Hume Lake Cabin Owners Association and the US Forest Service. I understand that these recreational activities involve being in remote areas for extended periods of time, far from communications, transportation, and medical facilities and that accidents can happen to anyone at any time. Furthermore, I understand that the cabin is an historic structure; I wish to use it as is and accept all risk for doing so. If I cause any damage to the property, residence or contents, I will restore or repair it to a condition acceptable to the owners. I agree to take full responsibility for myself, my family, my pets and any equipment I may be using. For myself, my heirs, executors and administrators, I will hold all cabin owners (including their family members, officers, directors, agents, and employees) blameless for any accident, injury, death or loss which might occur due to my use of the cabin and participation in related recreational activities, and free from all liability for such accident, injury, death or loss. I also agree to indemnify and hold all cabin owners harmless from all claims, judgements and costs, including attorney fees, arising from my use of the cabin and related recreational activities.

I HAVE READ THIS AGREEMENT, I FULLY UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

SIGNATURE OF PARTICIPANT:

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SIGNATURE OF PARTICIPANT’S PARENTS AND/OR LEGAL GUARDIANS IF PARTICIPANT IS UNDER 18 YEARS OF AGE:   Date of birth_________

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