Each person who wishes to visit Sampson Creek Preserve or Grizzly Peak Preserve must sign the Release Form.
The undersigned has requested permission to enter upon the real property owned by Anna Mae Ross, LLC in Jackson County, Oregon. In return for the granting of such permission, the undersigned does hereby assume all risk of injury or death, or damage to any property owned by the undersigned, from any cause whatsoever. The undersigned acknowledges that injuries are not uncommon in forested and mountainous properties and that the property owners have taken no precautions to protect persons like the undersigned from same. The area around the Barron Mine is known to contain high levels of mercury, arsenic and lead. If visiting this area please take precaution and wash hands thoroughly before touching eyes or eating. The signature below confirms that the undersigned hereby releases all claims of any sort, if any exist, including those for negligence, against the owner of the subject property and its members, agents, and employees. If minors are accompanying the undersigned in entering the subject property, this assumption of risk and release of liability is expressly extended to the rights of said minors and the undersigned represents that he/she/they have full authority to execute this Release on behalf of said minors as guardians. Access to the Sampson Creek Preserve and Grizzly Peak Preserve is limited to those individuals with proof of authorized access in the form of an Access Permit issued by the owner’s agent, Maia Black, at (541) 816-8464. It is further expressly understood that the undersigned and all members of the undersigned’s party shall strictly comply with all rules and regulations in force at the subject properties. If the undersigned and/or anyone in the undersigned’s party shall cause damage of any kind to the subject property, he/she/they shall be fully responsible for the cost of correcting same or compensating the owner as provided by law. It is further agreed that the undersigned does hereby indemnify and hold the owner harmless from all claims or liability which may arise due to acts or omissions of the undersigned or anyone in the undersigned’s party and this includes reimbursement of all costs of defense incurred by the owner.
The undersigned is advised to consult legal counsel before signing this Release.