WAIVER AND RELEASE OF LIABILITY FORM

Property Address: 121 Pond Lane, Beech Creek PA 16822
Event Description: Mighty Men Campout
Event Date(s): May 29th-31st, 2026

1. Assumption of Risk
   I, the undersigned, acknowledge that I have requested permission to enter and use the Property for the Event. I am aware that being on the Property and participating in the Event involves inherent risks, including but not limited to, physical injury, illness, death, or property damage. I voluntarily assume all risks, both known and unknown, associated with my presence on the Property, even if arising from the negligence of the Property Owner or others.
2. Release of Liability
   In consideration of being permitted to enter and use the Property, I hereby release, waive, discharge, and covenant not to sue Dan Smucker (“Releasee”), their family members, agents, or representatives from any and all liability, claims, demands, or causes of action whatsoever arising out of or related to any loss, damage, or injury (including death) that may be sustained by me or to my property while in, on, or upon the Property.
3. Indemnification
   I agree to indemnify and hold harmless the Releasee from any loss, liability, damage, or costs, including court costs and attorney fees, that they may incur due to my presence on the Property, whether caused by the negligence of the Releasee or otherwise.
4. Safety and Rules
   I agree to abide by all rules and regulations established by the Property Owner. I agree to inspect the premises upon arrival and immediately notify the Property Owner of any dangerous conditions.
5. Medical Treatment
   I hereby release and discharge the Releasee from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with my presence on the Property.
6. Severability
   I expressly agree that this waiver is intended to be as broad and inclusive as permitted by the laws of the State of Pennsylvania. If any portion of this agreement is held invalid, the remainder shall continue in full legal force.
7. Acknowledgment of Understanding
   I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE. I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.