Permission To Hunt On Private Land Form - Indiana

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Permission to hunt of private land form
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 on privately owned land without consent of the owner or
tenant of the land. According to IC 34-31-9, natural resource-based ac v es, including hun ng and fishing, are
considered agritourism ac vi es. An agritourism provider is a person who provides the opportunity for agritourism
ac vi es whether or not the
pays to par cipate in the ac
WARNING - Under Indiana law, an agritourism provider is not liable for an injury to or the death of a
in agritourism
es at this loca on if the death or injury results from the inherent risks of
agritourism ac
Inherent risks of agritourism ac
es include risks of injury inherent to land,
equipment, and animals as well as the poten
for you to act in a negligent manner that may contribute to
your injury or death, or for other
to act in a manner that may cause you injury or cause your
death. You are assuming the risk of
in this agritourism
ity.
Name
Signature
Date
ed Ac
Hun
Fishing
Trapping
Other
Info
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
ng in natural resource-
based
es on your property if the death or injury results from the inherent risks of such
ity.
Inherent risks include risks of injury inherent to land, equipment, and animals as well as the poten al for
the par cipant to act in a negligent manner that may contribute to their injury or death, or for other
to act in a manner that may cause their injury or death. The par cipant assumes the risk of
in natural resource-based
es 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 c
on the land and does not make the danger known to the par cipant,
in
injury, damage, or death to the
ipant; or who commits an act or omission that
willful or wanton
disregard for the safety of the
ipant; or who inten onally injures the par
Name
Signature
Date
Address
City
State
Zip Code
Home Phone
Cell Phone
Vehicle Make
Vehicle Model
Vehicle Color
Vehicle License Plate No.
ed Ac
Hun
Fishing
Trapping
Other
Restric

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