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Name:
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Food Allergies:
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Emergency Contact #:
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Viking Name:
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Sleeping in Tent or
Hall:
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Group; member of:
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Craft or skill displaying
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Dates Attending:
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Email address:
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Medical Allergies:
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Please read and sign below.
"Save Harmless Agreement"
This Save Harmless Agreement is a legal agreement between Samuel J. and Susan C. Shoults,
afterwards referred to as the owners of the property known as "Ravensborg" and formerly known as
"Norstead" located approximately four miles North of Knox City, Missouri in the County of Knox, and
the users and attendees of recreational events and activities that occur on this property. This
property has been provided as a location for recreational activities, educational reenactment and
living history activities including the sport of rebated steel combat for the purposes of enjoyment,
relaxation and pleasure.
Warning! Some of the recreational activities that occur on this property have an inherent and
obvious risk of danger or injury to participants and observing attendees. By attending and or
participating in these activities you are assuming responsibility for your own risk. You are not in any
way required to participate in these activities and are only doing such by your own choice and
decision. Care should be taken for yourself and your dependants and fellow attendees to minimize
risk to yourselves and each other. This property is made available for recreational use but no
recreational services are provided or implied as being provided by the land owners named above.
Warning!
The attendee and user of the above listed owners property release the owners from any claim,
demand, action or cause of action, of any kind whatsoever, known or unknown, which the attendee
and user has or had, or could have had, on account of, or in any manner arising out of or connected
with, his or her entry and use of the owners property.
Additionally, the attendee and user is hereby officially notified of the "Missouri Recreational Use
Statute" in effect in the State of Missouri wherein the actual owners property is located which limits
the liability of owners of property within the state who allow their property to be used for "Recreational
Use". The Statute is quoted and stated as follows:
"Missouri Recreational Use Statute
REVISED STATUTES OF THE STATE OF MISSOURI
TITLE XXXVI. STATUTORY ACTIONS AND TORTS
CHAPTER 537. TORTS AND ACTIONS FOR DAMAGES
LANDOWNER'S LIABILITY FOR RECREATIONAL USE OF LAND
537.345. Definitions for sections 537.345 to 537.347
As used in sections 537.345 to 537.347 the following terms mean:
(1) "Charge", the admission price or fee asked by an owner of land or an invitation or permission
without price or fee to use land for recreational purposes when such invitation or permission is given
for the purpose of sales promotion, advertising or public goodwill in fostering business purposes;
(2) "Land", all real property, land and water, and all structures, fixtures, equipment and machinery
thereon;
(3) "Owner", any individual, legal entity or governmental agency that has any ownership or security
interest whatever or lease or right of possession in land;
(4) "Recreational use", hunting, fishing, camping, picnicking, biking, nature study, winter sports,
viewing or enjoying archaeological or scenic sites, or other similar activities undertaken for
recreation, exercise, education, relaxation, or pleasure on land owned by another.
HISTORY: L. 1983 S.B. 162 1
537.346. Landowner owes no duty of care to persons entering without fee to keep land safe for
recreational use
Except as provided in sections 537.345 to 537.348, an owner of land owes no duty of care to any
person who enters on the land without charge to keep his land safe for recreational use or to give
any general or specific warning with respect to any natural or artificial condition, structure, or
personal property thereon.
HISTORY: L. 1983 S.B. 162 2
537.347. Landowner directly or indirectly invites or permits persons on land for recreation, effect
Except as provided in sections 537.345 to 537.348, an owner of land who directly or indirectly invites
or permits any person to enter his land for recreational use, without charge, whether or not the land
is posted, does not thereby:
(1) Extend any assurance that the premises are safe for any purpose;
(2) Confer upon such person the status of an invitee, or any other status requiring of the owner a
duty of special or reasonable care;
(3) Assume responsibility for or incur liability for any injury to such person or property caused by any
natural or artificial condition, structure or personal property on the premises; or
(4) Assume responsibility for any damage or injury to any other person or property caused by an act
or omission of such person.
HISTORY: L. 1983 S.B. 162 3
537.348. Landowner liable, when--definitions
Nothing in this act shall be construed to create liability, but it does not limit liability that otherwise
would be incurred by those who use the land of others, or by owners of land for:
(1) Malicious or grossly negligent failure to guard or warn against a dangerous condition, structure,
personal property which the owner knew or should have known to be dangerous, or negligent failure
to guard or warn against an ultrahazardous condition which the owner knew or should have known to
be dangerous;
(2) Injury suffered by a person who has paid a charge for entry to the land; or
(3) Injuries occurring on or in:
(a) Any land within the corporate boundaries of any city, municipality, town, or village in this state;
(b) Any swimming pool. "Swimming pool" means a pool or tank, especially an artificial pool or tank,
intended and adapted for swimming and held out as a swimming pool;
(c) Any residential area. "Residential area" as used herein means a tract of land of one acre or less
predominantly sed for residential purposes, or a tract of land of any size used for multifamily
residential services; or
(d) Any noncovered land. "Noncovered land" as used herein means any portion of any land, the
surface of which portion is actually used primarily for commercial, industrial, mining or manufacturing
purposes; provided, however, that use of any portion of any land primarily for agricultural, grazing,
forestry, conservation, natural area, owner's recreation or similar or related uses or purposes shall
not under any circumstances be deemed to be use of such portion for commercial, industrial, mining
or manufacturing purposes.
HISTORY: L. 1983 S.B. 162 4, A.L. 1984 S.B. 580
NOTE: Words "this act" appear in original rolls of both L. 1983 S.B. 162 and L. 1984 S.B. 580. The
reference probably should be to "sections 537.345 to 537.348", the section numbers assigned to
S.B. 162, 1983. S.B. 580, 1984, sought only to correct a typographical error."
By signing and agreeing to this document the attendee and user agrees to abide by the Save
Harmless Agreement above and that they have read and understand the Missouri Recreational Use
Statute and here agree and affirm that they have not been charged a fee for the usage of the above
described property by the land owners and are entering this property primarily for recreational use
for enjoyment, relaxation or pleasure.
I have read and understand the above information and understand that by signing this document I
am voluntarily limiting my rights to seek damages for any injuries, loss, or damage to persons and
property and release the owners from any claim, demand, action or cause of action, of any kind
whatsoever, known or unknown, which I, as an attendee and user have or might have, or could have
had, on account of, or in any manner arising out of or connected with, my or any of my dependants
or fellow attendees and users, entry and use of the owners property.
_____________________________________________________________
(Names of any minor attendees or others under my direct care and charge)
(by signing below you are giving consent for these attendees)
_____________________________________________________________
Full name (printed)
_____________________________________________________________
Signature and date
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Submit Online Signature by
completing the box to the right with the
required information from above. Do
not include other adults as
dependants unless they are directly
under your care. They will need to
register themselves. Please list any
additional information that we need to
be aware of here as well.
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