PRIVATE PROPERTY ADMITTANCE AGREEMENT

PRIVATE PROPERTY ADMITTANCE AGREEMENT  (PPAA)

Please consider this signed agreement as permission granted to:
________________________________________________________Grantee
Address: __________________________________________________
Phone #_________________________________________________
To be admitted on the property of: __________________________________________Grantor
And to be confined to: _____________________________________________

Please check one of the following:  Private citizen_____Public Servant_____

If Private Citizen: Organization Affiliation ___________________________

(In addition to this agreement, Public Servant will be required to fill Public Servant’s Questionnaire pursuant to the Privacy Act of 1974, and attach to Grantor’s PPAA.)

1) Grantee accepts full responsibility for his/her actions while on said property, and thereby waives Grantor of any liability whatsoever.

2) Grantee agrees that he or she is a guest on Grantor’s private (includes allotment owner) property accepts burden of performance, and acknowledges any action not agreeable to (3).  

3) Authorizes Grantor opportunity to terminate agreement at any time .

4) Grantee does not have permission to share any activity (includes hunting, fishing, dirt moving) or material (includes land, water, structure, fauna, flora, photography, electronic image or video) they see, with any government, government agent, government contractor, representative, private entity, non-profit agent, non-government public organization or non-profit private organization.

5) Grantee must be aware and hold Grantor harmless of, certain hazards, both man-made and natural. These hazards may include, but are not limited to barbed and hot wires, sinkholes, water (river/creek etc.), livestock, domestic and wild animals, machinery etc. 

6) Grantee promises to: Notify Grantor prior to each time Grantee desires to enter property; exercise full consideration of this privilege granted; will be absolutely observant of keeping shut gates shut, not leave behind any material Grantee brings in; not remove any material from Grantor’s property; not intentionally bring damage to any part of the land, water, farm animals or livestock, and not move beyond area defined in agreement.

7) Grantee acknowledges they will not disturb any animals, living trees, shrubs, buildings, well sites, electrical sites etc. 

8) This agreement is non-transferable, and on a one-person only basis.

9) Grantee does not have authority to enter any building on property. 

10) Grantee must have agreement available to show Grantor or any person Grantor authorizes to request show of said agreement; if Grantee fails to show requested agreement, Grantor or Grantor’s authorized person will hold right to terminate this agreement and demand Grantee leave of property immediately.

Agreement start date:__________Agreement termination date:_______________

Signed (Grantee) ________________________________________________________________

Signed (Grantor) _________________________________________________________________