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Permission to Enter Private Land
for Recreational Activities
Permission is hereby granted to the undersigned sportsperson for entry into private land
owned by the undersigned landowner or their agent for the date(s) and activities listed.
The permission is according to the conditions stated on the reverse side of this permit.
Hunt Trap Fish Harvest Ginseng
Permission Period
Seasonal - Through February 28, 20 _______
Daily - Valid From Date(s) ____/_____/____ to ____/_____/____
Landowner or Agent’s PRINTED Name
________________________________________ ______/______/______
Landowner or Agent’s Signature Today’s Date
In accepting this permit, I agree to assume and release the landowner from any or
all liability for personal injuries, property damage, or for the loss of life or property
resulting from, or in any way connected with the issuance of this permit.
Customer ID No. ________________________________________________
Sportsperson’s Address: ___________________________________________
(street)
(city, state, zip code)
Sportsperson’s Telephone (________) _________________________________
Vehicle License No., Make, and Model: _________________________________
Sportsperson’s PRINTED Name
________________________________________ ______/______/______
Sportsperson’s Signature Today’s Date
Ohio Revised Code 1533.181: Exemption from liability to recreational users
(A) No owner, or lessee, or occupant of premises:
(1) Owes any duty to a recreational user to keep the premises safe for entry or
use;
(2) Extends any assurance to a recreational user, through the act of
giving permission, that the premises are safe for entry or use;
(3) Assumes responsibility for or incurs liability for any injury to
person or property caused by any act of a recreational user.
1-Landowner or Agent - 2-Sportsperson DNR 8924 (R0914)