Rocky Top K9, LLC Dog Club
Hold Harmless Agreement and Required Signature Document
The undersigned is hereby granted permission to enter the premises and properties at 1428 Indian Warpath Rd, Sevierville, Tennessee 37876, known as Dawg Day's Farm, private residence of Ronald and Sandra Sudduth, for Rocky Top K9, LLC Dog Club activities and events. The undersigned also understands that club activates will also be held at other and varying public locations and agrees that this Hold Harmless agreement extends to any and all locations.
I specifically release and hold harmless the Rocky Top K9, LLC and contractors of, the Board of Directors, Landowners, Business Owners, and Ronald and Sandra Sudduth harmless from any defect or deficiency in the condition of the property or structures. I know the risks and the dangers associated with the varying activities. I assume all risks of injury to persons and possession that may be sustained in connection with any activities on the property or while involved in any club events or activities. This applies to my person, my dog(s), and anyone in my company, minor or otherwise.
I hereby represent and certify that my true age is eighteen (18) years or older. I further represent and certify that the foregoing Release, Hold Harmless, and Indemnification Agreement has been read before being signed; that the contents thereof are known and understood; that the indemnifying release was signed voluntarily and without and undue influence from anyone whomsoever. This release, Hold Harmless and Indemnification Agreement, may continue from year to year hereafter, and unless and until canceled and withdrawn in writing, at any time, by Rock Top K9, LLC, Landowners, or the undersigned, there or its agent, successors and assigns.
The undersigned understands that this is a complete release of liability and agrees that they have read and understand the Club Rules and the Hold Harmless agreement.
RTK9 Member
Name:
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First Name
Last Name
Signature:
*
Date:
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Month
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Day
Year
Date
Street Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone #:
*
Format: (000) 000-0000.
Email:
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone:
*
Format: (000) 000-0000.
Guest and Minors
Guest or Minor's Name:
First Name
Last Name
Street Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone #:
Format: (000) 000-0000.
Email:
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone:
Format: (000) 000-0000.
Signature:
Parent or Legal Guardian for Minor:
Name:
First Name
Last Name
Signature:
Date:
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Month
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Day
Year
Date
Submit
Should be Empty: