Transcription of Landowner Permission Record
1 Landowner Permission Record . Landowner COPY. Permission given to_____. Address_____. _____. Vehicle Make_____ Vehicle Lic. in party____. Other Licence tag. Permission Dates: from ____ / ____ / ____ to____ / ___ /___. Limitations_____. I agree to conduct myself safely, responsibly and lawfully, respecting the Landowner , property, and others using it. I accept the responsibilities which are part of the activities which I. pursue. I agree to comply with the instructions of the Landowner while on this property. I understand that the laws of New York State absolve the Landowner from liability for non-paying recreationists engaged in hunting, fishing, trapping, boating, hiking, and in certain other activities, except in the case of willful or malicious failure to guard or warn of hazards. Signed_____.
2 (Visitor). Date ____/____/____. Turn in poachers and polluters Call I -800 TIPP-DEC. Card provided by New York State Dept. of Environmental Conservation _ __ __ __ __ __ __ __ __ __ __ __ __. VISITOR COPY~ NOT TRANSFERABLE. I request Permission to enter your property for the following Dates: from ____ / ____ / ____ to____ / ____ / ____. Limitations_____. Landowner 's Name_____. Address_____. I hereby give Permission to: (Visitor's name). _____. to enter my property for the purpose listed on this card. He/she has agreed to act safely, responsibly, and lawfully and to accept responsibility for his/her actions. Signed_____. ( Landowner , lessee , or operator). Date___/____/___. Turn in poachers and polluters Call I -800 TIPP-DEC. Outdoor Recreation on private property is a privilege, NOT A RIGHT.
