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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 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.

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) _________________________________________________________________