Permission To Hunt On Private Land Form printable pdf download

Permission To Hunt On Private Land Form

TO BE RETAINED BY THE HUNTER

According to IC 14‐22‐10‐1, a person may not hunt upon privately owned land without having the consent of the

owner or tenant of the land. According to IC 34‐31‐9, natural resource‐based activities, including hunting and fishing, are

considered agritourism activities, and an agritourism provider is a person who provides the opportunity for agritourism

activities whether or not the participant pays to participate in the activity.

WARNING ‐ Under Indiana law, an agritourism provider is not liable for an injury to, or the death of, a

participant in agritourism activities at this location if the death or injury results from the inherent risks of

agritourism activity. Inherent risks of agritourism activities include risks of injury inherent to land,

equipment, and animals as well as the potential for you to act in a negligent manner that may contribute to

your injury or death, or for other participants to act in a manner that may cause you injury or cause your

death. You are assuming the risk of participating in this agritourism activity.

Participant’s Name

Participant’s Signature Date

Permitted Activities: Hunting Fishing Trapping Other

Restrictions/Additional Information

Landowner’s /Tenant’s Name

Landowner’s/Tenant’s Phone

Landowner’s/Tenant’s Signature

Cut on dashed line

TO BE RETAINED BY THE LANDOWNER/TENANT

Under IC 34‐31‐9, you are not liable for the injury or death of someone participating in natural resource‐

based activities on your property if the death or injury results from the inherent risks of such activity.

Inherent risks include risks of injury inherent to land, equipment, and animals as well as the potential for

the participant to act in a negligent manner that may contribute to their injury or death, or for other

participants to act in a manner that may cause their injury or death. The participant assumes the risk of

participating in natural resource‐based activities on your property.

The law does not prevent or limit the liability of an agritourism provider who has knowledge or reasonably should

have known of a dangerous condition on the land and does not make the danger known to the participant, resulting in

injury, damage, or death to the participant; or who commits an act or omission that constitutes willful or wanton

disregard for the safety of the participant; or who intentionally injures the participant.

Participant’s Name

Participant’s Signature Date

Address

City State Zip Code

Home Phone Cell Phone

Vehicle Make Vehicle Model

Vehicle Color Vehicle License Plate No.

Permitted Activities: Hunting Fishing Trapping Other

Restrictions

Permission To Hunt On Private Land Form