Dates Attending

Name

First Name

Last Name

Your City/State

List names of any minors (under 18) you are responsible for attending.

Camping overnight?

Camping allowed, but no campfires per USFS rules.

Yes

What are your plans? (check all that apply)

Gold Mining

Just hanging out

Fishing

I agree to: Follow all federal, state, and local laws. Adhere to all claim rules provided by the owner/host. Assume full responsibility for my own safety and that of my dependents. Hold harmless and indemnify the claim owner, BLM, and USFS from any claims, injuries, losses, or damages arising from my visit. This waiver is valid only for the date(s) selected above and must be in my possession at all times while on the claim. (printed permit or phone screenshot is fine)

I certify I am the parent/guardian of the minors listed above and agree to these terms on their behalf.

By checking this box, I, [typed name above], acknowledge that: I have read, understand, and agree to all KGP GRAND PLACER rules. I accept full responsibility for my safety and actions while on the claim. This waiver and permission is valid only for the date(s) selected above and is non-transferable.

Message/Questions (optional)

Thanks for signing the waiver to join us at KGP GRAND PLACER Gold Claim!

Your permit will be emailed to the email you provided within 24 hours.

Please print it or save a screenshot on your phone, and keep it with you while on the claim at all times.

We look forward to seeing you at the claim!