PROPERTY ADMITTANCE
AGREEMENT
Grantor: Property Owner
Grantee: Person who desires access
to Property Owner’s Property. Grantee also includes friends and family. Grantee
assumes full responsibility for said persons while on Property.
Property: May also include Range
Allotment Owner Property on Federal Land.
Please
consider this signed agreement as permission granted to Grantee:______
_________________________________________________________________
Address: __________________________________________________________
Phone #__________________________________________________________
To be admitted on the property of Grantor: _________________________________
___________________________________________________________________
Area confined to: _____________________________________________________
Approximate number of Grantee guests___________________
Public Servant is required to fill Public Servant’s Questionnaire pursuant to
the Privacy Act of 1974, and attach to Grantor’s Property Admittance Agreement.
Grantee
agrees that he or she is a guest on Grantor’s Property and accepts burden of performance
and acknowledges any action not agreeable to Grantor authorizes Grantor
opportunity to terminate agreement.
Grantee agrees Property may or may not have possible hazards such as equipment,
wild and domestic creatures, water etc., and will be responsible for all guests
of any age; with special tending to Children.
Agreement
prohibits recovering damages from Grantor for personal injury or property
damage incurred by Grantee while on property. Exception: Damage or injury willfully
or deliberately caused by Grantor.
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.
Page 1 of 2 Property Admittance
Agreement
Grantee promises
to: Notify Grantor prior to each time Grantee desires to enter property;
exercise full consideration of this privilege granted; will be observant of
keeping shut gates shut, not leave behind any material Grantee brings in, not
remove any material from Grantor’s property, no smoking or fire building on
property, not intentionally bring damage to any part of the land, water, farm
animals or livestock, and not move beyond area defined in agreement.
This agreement
is non-transferable, and on a Grantee assumes responsibility for themselves and
accompanying friends and or family basis.
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 property immediately.
Agreement start date:____________ Agreement termination date:____________
Signed (Grantee)
________________________________________________________________
Signed
(Grantor) _________________________________________________________________
Page 2
of 2 Property Admittance Agreement
