Language
English (US)
Waiver of Liability, Assumption of Risk and Indemnity and Rider
ONLY FILL OUT this form if you are REGISTERED for an event. You must sign up to attend investigations or tours. By filling out this form you agree to terms and conditions of the Waiver. You can pre-read the Waiver and Recorded Content Rider on https://hauntedhillviewmanor.com/resources/.
What is your Event Date
*
/
Month
/
Day
Year
Event Date
Fill in your Initials
*
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
City
State / Province
Postal / Zip Code
Country
*
Email
*
example@example.com
Will you be Live Streaming? (Public Events can not Live Stream)
*
I will NOT be streaming (Public Event check here)
I am on a Private Event and will be streaming
Live Streaming Website (URL)
Website of posting (social media or website) - enter NONE if you are not going to Live Stream
You agree that
*
you are not and will not monetize the Recorded Content
Recorded Content Use
*
Personal Entertainment Only
Request exemption on Recorded Content Rider (see below)
Verify that you are
*
18 yrs or older
Minor with parent or guardian signing
Date Waiver Signed
*
/
Month
/
Day
Year
Signature Date
Waiver Signature
*
Signature for Waiver of Liability only
Clear
Recorded Content Rider is being signed for:
*
Limited Exemption for Production Edits
Limited Exemption for Branded Use
I am Group Leader
Limited Exemption for Use of Drones and Outside Filming
Part of Private Group and not requesting exemptions
Outside Filming
Includes using drones
Does not include using drones
Confirm that
*
you are not and will not monetize Recorded Content
Please provide the Link to Recorded Content
URL of web or social media site where recorded content will be posted
Rider Signature
Signature for Recorded Content Rider
Clear
General Purpose of the Rider
FOR Haunted Hill View Manor USE ONLY
0/250
General Purpose of the Rider
: {generalPurpose}
Hill View Manor Signature
Clear
HVM Agent Name
To be filled out by Haunted Hill View Manor
HVM Confirm
Sent for group leader signature
Preview PDF
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform