Camp Dubonett - 10105 Lake Dubonett Trl, Traverse City, MI 49685 - 231-486-5291 - CampDubonett@gmail.com

Thanks for staying with Camp Dubonett. We truly appreciate you giving us the opportunity to help you experience the Traverse City area and the great outdoors and all of the other amazing things about this area. Because you are choosing to make part of your experience staying outside and enjoying activities in the woods, we unfortunately need to make you aware and ask you to release us from liability from some of the hazards and risks.

The following are some, but not all, of the conditions that might result in injury, harm, or death at Camp Dubonett:
• Participating in campground activities involves known and unanticipated risks which could result
in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but
are not limited to, broken bones, torn ligaments or other injuries as a result of falls; burns from campfires;
drowning in pools or other bodies of water; falls from play equipment or caused by uneven surfaces; medical
conditions resulting from physical activity; and damaged clothing or other property. (These risks simply
cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity.)
• There are many foot faults that can trip or injury someone.
• There are branches and limbs that fall out of trees which can be tripped over or land on someone or something.
• There may, periodically, be wild animals in the woods that may approach your camp, destroy items or attack humans and other animals.
• You and your guests may provide faulty equipment, fail to make a reasonable determination about individuals’ ability, fail to warn of specific hazards on the premises or intentionally not warn your group to adhere to safe practices.
• There are open fires near forest and farm areas that contain many combustible objects. Fires are always a risk to everyone’s safety and must always be monitored and completely extinguished before leaving it.
• Being a passenger on an animal or spectator at animal activities.
• The unpredictability of animals to react to sounds or sudden movements, unfamiliar objects, persons, or other animals, a collision with another animal, people, or an object.
• Hazards, including, but not limited to, surface or subsurface conditions. (slippery cement/asphalt)

I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in
this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no
medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume
and bear the costs of — all risks that may be created, directly or indirectly, by any such condition.

This contract is non-assignable and non-transferable and is made entered in the state of Michigan, shall be enforced and interpreted under the laws of this state. When the responsible party signs this contract, it will then be binding on both parties, subject to the above terms and conditions.

I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain
in full force and effect.

I agree to the liability release terms listed above (required)

In return for the use, today and all future dates on the property, facilities and services of Camp Dubonett, all parties listed on this document and your guests, their heirs, assigns, and legal representatives, hereby expressly agree to hold Camp Dubonett harmless for liability for injury, harm and other risks including death.

I acknowledge that other guests staying on the property as part of my party also agree to the terms of liability release. I also acknowledge that I am listing all guests (whether staying overnight or visiting) with my party. If additional guests enter the property as part of my party I agree to notify these guests of the liability release. I also agree that it is my responsibility to warn guests of the risks and precautions needed to remain safe and secure during our stay.

I have no questions, have read and I understand the entire above stated wording and warnings.

I agree to the hold harmless terms listed above (required)

I agree to notify all guests in my party of the rules and requirements. I also agree that I have authority to represent all guests in my party. Guests will be listed below. If new guests arrive I will notify Camp Dubonett representatives and agree to notify add their names to my party list.

I agree to notify all guest of the rules and accept responsibility for their actions. (required)

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