Independence
555 S Main St; PO Box 7
Independence, OR 97351
503-838-1212
503-606-3282
independencegoesdark@gmail.com
INDEPENDENCE GOES DARK FORM
1 Select
Cost: $250.00
Notes:

Festival Dates: August 17th-22nd, 2017

Reservation fee will reserve your campsite from 3:00 pm August 17th to 12:00 pm August 22nd.

 

Registration Information
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Phone:*
Email:*
Emergency Contact:*
Emergency Phone:*
Arrival Date:*
Departure Date:*
Number of People:*
How did you hear about us?:
State and Number on License Plate:
Make and Model of Vehicle *RVs will not be allowed in the campground area.:
Comments or other Information:
I am at least 18 years of age (Required):*

Terms and Conditions

Terms and Conditions for attending Independence Goes Dark 2017 Festival and Camping in Independence, Oregon

With regard to attending the Independence Goes Dark 2017 Festival (the “Event,”), which shall take place in Independence, Oregon this August 17-22, 2017, I agree to comply with any and all rules, regulations, terms and conditions of the Event, including, but not limited to, the following:

2. I acknowledge and fully understand that, as an Independence Goes Dark 2017 Festival attendee, I will be engaging in activities that involve potential risk of serious injury, including permanent disability and death, property loss, and social and economic losses and other risks that are not known or foreseeable at this time. I knowingly and voluntarily assume all risk of property loss, personal injury, or death, which may occur by attending and I assume full responsibility and liability for my participation.

3. I understand that minors under 18 years of age can attend the Event only if accompanied by a parent or guardian, and that if I bring a minor to the Event, I will be solely responsible for the minor and his or her actions, including any violations of these Terms and Conditions.

4. I understand that lifeguards will be not be on duty. If I bring any minors to the Event, I am solely responsible for ensuring that they do not enter the water unattended. If I, or any minors I bring to the Event, choose to enter the water, we do so at our own risk. I, on behalf of myself and any minors I bring, release the City of Independence from any and all related liability.

5. I acknowledge that the following are prohibited: Glass, Pets, Non Prescription Drugs of Any Kind, Non-Propane Fires, Alcohol, Firearms and Knives

All vehicles including cars, trucks, trailers and RVs entering Independence Goes Dark 2017 Festival campsites are subject to search by staff for prohibited items. Do NOT bring non-prescription drugs in the Independence Goes Dark 2017 Festival.

6. Public nudity is prohibited at the Independence Goes Dark 2017 Festival. I understand that I must remain clothed at all times when in public areas, and that I must wear a bathing suit (or other similar garment) when swimming.

7. I consent to medical treatment that may be deemed advisable in the event of injury, accident and/or illness during any program, event or activity. I release the City of Independence and all persons participating in any such medical treatment from all responsibility for any such actions.

8. In the event I obtain tickets for any other person or persons, I recognize that I am acting as that person’s agent, and due to this agency relationship I agree to these terms on behalf of any person to whom I deliver any of the tickets and I shall notify any such person of these terms.

9. I agree that the City of Independence is not liable for acts of God, the weather, strikes, protests, terrorism, or actions taken by agencies and similar causes. I understand that tickets are nonrefundable even if the Event is terminated early or canceled, or entry conditions are modified, due to harsh weather, acts of nature, governmental regulation or conditions beyond The City of Independence’s control.

10. I understand that the Independence Goes Dark 2017 Festival is a Leave No Trace, “pack-it-in, and pack-it-out” event. I shall bring home with me anything I bring in, including garbage and recycling. *Trash receptacles will be provided*.

11. I understand that the Event is taking place during a high fire danger period and that open fires outside of designated zones are not allowed. If I smoke, I shall properly extinguish my cigarette butts and pack them out in adherence with Leave No Trace principles.

12. I understand that the City of Independence reserves the right to refuse entry, and that my Event ticket/permission to be present at the Event may be revoked by the City of Independence at any time, for any reason.

13. Refund and Cancellation Policy

All sales are final. Refunds or exchanges are not guaranteed. Camping areas may not be transferred to other individuals.

14. Camping Policy

Fire or flames that are not propane controlled are prohibited.

No Smoking or Vaping within 75 feet of a campsite. Designated Smoking Areas will be provided.

Sofas or overstuffed chairs etc. are not permitted at campsites.

I understand that camp hosts will be provided by the City of Independence but hereby agree that the City of Independence is not liable for any risk of property loss, personal injury, or death, which may occur to me or those in my party while camping or while traveling between Riverview Park and designated campsites.

I, and those in my party, understand that I am receiving permission to camp by the City of Independence, and that permission is subject to change based on the safety and comfort of the greater camping area and the City of Independence. I understand that I can be removed at any time, for any reason.

15. Use of Images

By attending the Independence Goes Dark 2017 Festival, I accept the Terms and Conditions for the use of photographic imagery, whether still or video. I understand and accept that no use (other than personal use) of images, film, or video obtained at the Event may be made without prior written permission from The City of Independence. “Personal Use” of images, film or video means sharing with friends and family, displaying on personal (non-commercial) websites, (so long as such website does not purport to be an official website of The City of Independence), and/or displaying on photo sharing websites.

16. I acknowledge that while at the Event my likeness may be captured on film, video or photography, which may subsequently be displayed or disseminated without my consent or payment of compensation to me, and I release The City of Independence from any liability due to such filming, photographing or dissemination. Furthermore, I acknowledge that my likeness may be used by The City of Independence and/or those granted written permission from The City of Independence for event documentary and/or promotional purposes.

17. These Terms and Conditions may be changed by the City of Independence prior to the Event, in which case the revised Terms and Conditions will apply.

18. In consideration of attendance and participation in this Event, I, on behalf of myself, any minors I bring to the Event, and our heirs, executors, administrators, and assigns, hereby WAIVE, RELEASE AND DISCHARGE the City of Independence, its councilors, officers, supervisors, employees, representatives and agents from any and all claims for damages, injuries, losses, liabilities, and expenses that I or they may have or which subsequently accrue to me or them arising out of our attendance or participation in the Event. I also agree to INDEMNIFY AND HOLD HARMLESS, the entities mentioned in this paragraph from any liabilities or claims made by other individuals or entities as a result of my actions or the actions of a minor I bring to the Event. I intend that the waiver and release of liability contained in these Terms and Conditions shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

In Consideration of City of Independence granting permission to the undersigned the right to participate in the above activity, I hereby waive all claims for damage or loss to my person and property which may be caused by any act, or failure to act, of City of Independence, its officers, agents, volunteers, or employees in connection with the above-named activity. I assume the risk of all dangerous conditions that may be involved in participating in the above-named activity and waive any and all specific notice of the existence of any such condition.

I, for myself and for my heirs, legal representatives, and assigns, in consideration of allowing me to participate in the above-named activity, covenant with City of Independence its heirs, officers, agents, volunteers, or employees, to never institute any suit or action at law or in equity against City of Independence its officers, agents, volunteers, or employees, by reason of any claim I may have that arises out of my participation in the above-named activity.

I, for myself and for my heirs, legal representatives, and assigns, do hereby release, acquit, and forever discharge City of Independence, its officers, agents, volunteers, or employees and each of them for and from any and all claims, cause of action, suits, damages, injuries, and liabilities of every kind and nature, known or unknown, arising out of my participation in the above-named activity.

I agree to the Terms and Conditions
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