Permission to Enter Private Land
for Recreational Activities
Permission is hereby granted to the undersigned sportsperson for entry into private land owned by the undersigned landowner or their agent for the date(s) and activities listed. The permission is according to the conditions stated on the reverse side of this permit.
DHunt |
DTrap |
D Fish |
D Harvest Ginseng |
Permission Period |
|
|
|
D Seasonal - Through February 28, 20 _______ |
D Daily - Valid From Date(s) ____/_____/____ |
to ____/_____/____ |
______________________________________________________________
Landowner or Agent’s PRINTED Name
________________________________________ ______/______/______
Landowner or Agent’s Signature |
Today’s Date |
In accepting this permit, I agree to assume and release the landowner from any or all liability for personal injuries, property damage, or for the loss of life or property resulting from, or in any way connected with the issuance of this permit.
Customer ID No. ________________________________________________
Sportsperson’s Address: ___________________________________________
(street)
______________________________________________________________
(city, state, zip code)
Sportsperson’s Telephone (________) _________________________________
Vehicle License No., Make, and Model: _________________________________
______________________________________________________________
______________________________________________________________
Sportsperson’s PRINTED Name
________________________________________ ______/______/______
Sportsperson’s Signature |
Today’s Date |
Ohio Revised Code 1533.181: Exemption from liability to recreational users
(A)No owner, or lessee, or occupant of premises:
(1)Owes any duty to a recreational user to keep the premises safe for entry or use;
(2) Extends any assurance to a recreational user, through the act of giving permission, that the premises are safe for entry or use;
(3) Assumes responsibility for or incurs liability for any injury to person or property caused by any act of a recreational user.