Guest Registration Form

Guest(s) Information

Name on Reservation*

First Last

Phone Number*

Email*

# of Additional Guests*

Each additional guest staying in your rental home must be accounted for on this form.

Additional Guest Name - 1

First Last

Additional Guest Name - 2

First Last

Additional Guest Name - 3

First Last

Additional Guest Name - 4

First Last

Additional Guest Name - 5

First Last

Additional Guests 6+

One per line please

Home Information

Bear Lake Reserve Rental Address*

Street Address

Arrival Date*

Departure Date*

Liability Waiver

ASSUMPTION OF RISK, RELEASE, WAIVER OF LIABILITY AND INDEMNITY AGREEMENT ("AGREEMENT")*

In consideration for being permitted to participate in activities and events at Bear Lake Reserve ("Coordinator"), I for myself my personal representatives, spouse, assigns, estate, heirs and next of kin (collectively "I"):

1. Voluntary Participation: Acknowledge, understand and agree I am participating voluntarily and agree to be completely responsible for my own actions. I further agree to abide by all safety standards, rules and guidelines, which may be imposed by the Coordinator.
2. Acknowledgment and Assumption of Risks: Fully understand that: (a) use involves risks of serious bodily injury, including permanent disability, paralysis and death ("Risks"); (b) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others, the Coordinator, the conditions, or the negligence of the Releases (defined below); (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such Risks and all responsibility for losses, costs and damages I incur as a result.
3. Release: Covenant, promise and agree I will not prosecute or present any claim for personal injury, property damage or wrongful death or any other action against the Coordinator, others, or their respective, officers, trustees, administrators, executors, personal representatives, next of kin or any other representatives ("Releases") and hereby release, waive, discharge, relinquish any action or causes of action, which may hereafter arise from any and all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence or other acts or omissions of the Releases or otherwise, including injuries received or that may have been compounded or increased by negligent operations or procedures of the Releases.
4. Indemnification: Covenant, promise and agree to defend, indemnify and hold the Releases harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorneys fees, that arise out of or are in any way related to my involvement or participation.
5. Miscellaneous: Hereby declare I am of lawful age and legally competent to sign this Agreement, I understand the terms herein are contractual and not a mere recital and I have signed this document of my own free will. I further acknowledge, understand and agree that the covenants and releases in this Agreement are intended to be as broad and inclusive as is permitted by the laws of the State of North Carolina and if any portion of this Agreement is held invalid, I agree that the balance, notwithstanding, continue in full legal force and effect. If any claim arises, I agree that this Agreement shall be interpreted under the laws of the State of North Carolina.

I ACKNOWLEDGE THAT I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A FULL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT PERMITTED BY LAW.

I have read and understand the Terms above.

THE BEAR'S SAFETY DO'S AND DON'TS*

The Bear Safety Guidelines

Do’s	Don’ts
• If you encounter a bear and it has not noticed you, quietly move away and leave the area	• Don’t approach bears
• If a bear approaches you - Make yourself look big, make loud noises, clap your hands, and continue to back away	• Don’t feed bears
• Keep all trash indoors	• NEVER run from a bear – running will trigger a chase response
• Only dispose of trash in serviceable, locking, bear-proof containers or dumpsters	• Don’t leave any trash outside
• Remove all items from your vehicles that have any scent that may attract bears (food, beverages, personal care items including lotions, etc.)	• Don’t leave beverages, food, wrappers, scraps, pet food, cookie/candy debris, or scented personal items anywhere in vehicle (incl. glove box, trunk, etc.)
• Hike safely (never alone, make noise, be aware of surroundings)	• Don’t allow pets to run around off leash
• Remove all food items/trash after use of pool, firepits, sports courts, grills and community seating areas
• Keep pet food and bowls inside
• Keep your pets on a leash
• Keep doors and windows closed
• Alert neighbors to bear ctivity
• Enjoy nature, including our bears, safely and responsibly

I have read and understand the Bear's Safety Guidelines above.

Name on Reservation*

Please type your full name.

Hidden

Name on Reservation: Signature

Date*

Emergency Contact Information

The following information is REQUIRED to be completed in case of an emergency. The Coordinator reserves the right to contact the emergency contact; such contact may be without the approval of the guest(s).

Contact Name*

First Last

Contact Phone Number*

Alternate Phone Number

Contact Email Address

Guest(s) Information

Home Information

Liability Waiver

Emergency Contact Information

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