Pine Creek Eclipse Camping 2017 -

Group and Individual RV Camping Use Agreement and Release

This is an informational copy of the Agreement that I will email to you when you fill out the Reservation form.

We will email you this form as a Word doc. or pdf.

Organization Name:______________________________________________________

Contact Person:__________________________________________________________

Telephone Number:_________________Alternate Phone Number:________________

Mailing Address:_________________________________________________________

Email Address:__________________________________________________________

Date(s) of stay:_________________________

Estimated Group size:   Vehicles:______________   People: _____________________

Description of Group:____________________________________________________________________________________

Initial Access Date & Time: _______________________________________ AM / PM

Event Exit Date & Time:__________________________________________AM / PM


Date Paid:______________________

How paid: Check#:_____________   CC: (Visa, MC, etc.)_______________________

Card #: ________________________________________________________________

Exp Date #:__________________

Name on Card: __________________________________________________________

Security Code #:______________

Address associated with card:   ____________________________________________ 

Indemnification and Hold Harmless:  User is responsible for and shall pay and discharge any and all claims of any nature whatsoever under this agreement. User shall indemnify, defend, and hold harmless Pine Creek Eclipse Camping, any agents, contractors and employees for and against any and all loss, damage, injuries, action, causes of action, or liability of any kind resulting from or arising out of the event, operations, activities or undertaking of User or any User's guests, employees, agents, volunteers, or independent contractors.Signature:   Facsimile or electronic transmission of any signed original document and retransmission of any signed facsimile or electronic transmission shall be the same as delivery of an original. At the request of either party, the parties shall confirm facsimile or electronic transmitted signatures by signing an original document.


Electrical and Water Connections.  There are none. All campers must be self-contained.

Parking.  Parking is limited two vehicles within each designated spot.

Restroom Facilities.  There are porta-potties available.

All campers must be self -contained. Electric, dump & water hook-ups are NOT available

Trash.  User is responsible for removing trash after the event.


Security.  Event security is the responsibility of the User. 


Damages.  User agrees to pay Pine Creek Eclipse Camping reasonable value of the cost of repairing or replacing damage to the facility caused by the User or User's employees, agents, sub-contractors, exhibitors or guests. By signing this agreement, User assumes full responsibility for all persons connected with the event. Pine Creek Eclipse Camping will bill the User based on the cost of repairs. User will be responsible for all collection costs and legal fees if assigned to an outside agency for collection.

Payment Policy: A deposit equal to 2 days rental fee is required to hold your reservation at the time of reservation and is non-refundable. Reservations made within 30 days of arrival require full payment at the time of booking and are non-refundable. Payments may be made by Master, Visa or Debit Card at the time of reservation. ­­No personal checks will be accepted at Check-In. Any cancellations made within 30 days of arrival will be charged for the entire reservation and any balance due will be charged to the credit card on file.

An inspection is done after each check-out for any damage done to real or personal property. The renter(s) shall be liable and solely responsible for any property damage, accident, injury to any person or loss sustained by any person or arising out of or in any way related to renter(s) use of the premises or the items of personal property provided.  Pine Creek Eclipse Camping is authorized to utilize the credit card on file or the cash security deposit to cover said damages or additional cleaning costs, including the charging or billing of any additional amounts that exceed the deposit held.

Cancellation Policy: Cancellations will not be eligible for a refund.

Pine Creek Eclipse Camping is not responsible for articles left on premises. Lost & Found will be held for 30 Days. After such time all items will be donated to charity.

Cleaning:  YOU ARE REQUIRED to leave the property in the same general condition that you received it by.

What you should bring: Water, food and necessities. Remember you will be in a remote area with limited access to water, food, necessities and gasoline.

I have read, understand and signed the Use Agreement document. I agree to indemnify and hold  Pine Creek Eclipse Camping harmless from any and all liability for injury to persons or property as a result of the use of the facility pursuant to terms of the attached agreement. I will make restitution for any damage incurred during the use. I am of legal age and have the authority to sign this application and agreement on behalf of the organization/group stated intending to use the facility.

Signature of Responsible Person:



Print Name:____________________________________________________________