
Plum Pond Bed and Breakfast of East Texas
13234 County Road 3801
Athens, Texas 75752
RELEASE & WAIVER OF LIABILITY
Upon or before check-in, Guests age 18 and over MUST sign our RELEASE & WAIVER OF LIABILITY form and children under 18 must be named and listed properly below.
Please be aware that Plum Pond Bed & Breakfast of East Texas has taken reasonable steps and precautions to assure your safety while staying with us. In using our property, however, you do so at your own risk. To stay with us our Release & Waiver of Liability must be signed upon your arrival or brought with you already signed.
Please sign this Release & Waiver of Liability, thereby indicating that you agree to release and hold harmless Plum Pond Bed & Breakfast, its owners, agents, and other guests from any liability. This Release and Waiver of Liability shall not apply to any claims arising from the negligence of Plum Pond Bed & Breakfast, its owners or agents.
Release & Waiver of Liability
I, the undersigned (hereinafter the Guest) hereby irrevocably & unconditionally release & hold harmless from liability Plum Pond Bed & Breakfast of East Texas (hereinafter known as Plum Pond Bed & Breakfast), its owners, agents, and other guests (all four hereinafter known as Releasees) from any & all liabilities, claims, actions, damages, costs, or expenses of any nature whatsoever whether in law or equity, known or unknown, occurring during, caused by, relating to, or arising in any way from participation at Plum Pond Bed & Breakfast.
I also understand that attending a facility in the country may involve voluntary participation in physical activities both indoors and outdoors, and certain exposure to wildlife and walks, steps and path that are uneven. With these, and all related activities, there is a certain element of risk. By accepting this waiver, I hereby acknowledge that my participation is at my own risk, and that I assume all responsibilities for any and all aspects of participation by both myself and any children who might accompany me. I understand that two bikes are provided as one of the available activities and the proper use of provided protective helmets while riding is required of rider. The area provided for riding includes our driveway and on CR 3801 from inside our gate and to the right (north) on CR 3801 to the dead-end of the paved road CR3801. This waiver also applies to those participating in horse-back riding and handling of your own or someone elses horse while visiting or staying at Plum Pond Bed & Breakfast. This waiver applies to any and all activities, named and unnamed herein, which are voluntarily participated in by guests and family members & visitors of guests at Plum Pond Bed & Breakfast.
I also understand that this Release & Waiver of Liability irrevocably and unconditionally releases and holds harmless all Releasees from any financial or other liability for any injury, bodily harm, sickness, illness, or loss of life that I as a Guest or my family member or friend may suffer and from any economic harm or loss of property occurring during, caused by, relating to, or arising in any way out of staying at Plum Pond Bed & Breakfast.
I, the undersigned, have read this Release & Waiver of Liability and understand all of its terms; I have executed it voluntarily, with full knowledge of its significance, and intend to be legally bound by it. I understand that each child here with me who is under 18 years of age is to be named below and is my responsibility while here at Plum Pond Bed & Breakfast. My signature includes them in coverage of this release form. My children who are here who are 18 and older will sign the release themselves and assume personal responsibility.
Date of stay from ___________________________________, 2011 to ______________________________________, 2011
Printed Name of family guest:______________________________________________________________________
Signature of guest:__________________________________________________________________________________
Printed Name of family guest::_______________________________________________________________________
Signature of guest: _________________________________________________________________________________
Printed Name of family guest:________________________________________________________________________
Signature of guest: _________________________________________________________________________________
Names of children and guest who is responsible for them:_____________________________________________
_____________________________________________________________________________________________________
Thank You,
Plum Pond Bed & Breakfast of East Texas
Owners
Dick and Nancy Davenport