MAPS-Michigan Area Paranormal Society-Paranormal Investigators helping the community when they feel they have nowhere else to turn!!

Jewett House (Mason, MI) – Michigan Area Paranormal Society (M.A.P.S.)  Rev 2013.07.23  



RELEASE WAIVER OF ALL LIABILITY AND CONSENT FOR EMERGENCY TREATMENT 


I, the undersigned, enter the Jewett House, (property located on Jefferson St. in Mason, MI) with a paranormal group
, operating under the name “Michigan Area Paranormal Society”; hereinafter referred to as “M.A.P.S.”), to 
engage in a recreational or physical activity or event to attend or otherwise participate in such activities, therein 
(collectively referred to as “Activity(ies)”).  I understand that my presence at the Jewett House and my participation in any 
Activity(ies) are a matter of my personal and private choosing, and are entirely voluntary.  The Jewett House, its owner, 
subsidiaries, affiliates, associates, representative(s), host/guide, and/or related entities, or any of their respective 
representatives, predecessors, or successors is collectively called the “Releasees”. 

Declaration of Health 
I represent and warrant that I am in good health and sound mind and that I know of no reason, medical or otherwise, 
why I can not or should not participate in the Activity(ies).  I acknowledge that participation in the Activity(ies) is not 
recommended for people with heart conditions, pregnant woman, people prone to seizures or anyone who has a 
medical condition that is made worse by fear, anxiety, or flashing lights.  Participation in the Activity(ies) is solely at my
own risk.  I acknowledge that the Releasees shall not assess or approve my physical fitness for participation. 
Assumption of Risk/Indemnification 
I know that certain Activity(ies) present obvious risks and dangers of which the Releasees owe no obligation to warn 
me.  I am also aware of the risks and dangers and represent that I am in good physical condition and that I have no 
disability, impairment or ailment which may prevent me from engaging in any such activity at the Jewett House.  I 
acknowledge that the Releasees are relying upon my truthful representations contained within this application. 
THEREFORE, IN CONSIDERATION of the permission granted to me to enter the Jewett House and participate in any 
Activity(ies) at/on the Jewett House, I voluntarily release, discharge, waive, and relinquish any and all actions or causes 
of action for personal injury (real or perceived), property damage, wrongful death, or any other claims or liabilities 
occurring to me arising as a result of engaging in said activity or any activities incidental thereto wherever or however 
the same may occur and for whatever period said activities or instructions may continue, and I for myself, my heirs, 
executors, administrators, and assigns hereby release, waive, discharge, and relinquish any action or cause of 
action, aforesaid, which may thereafter arise for me and for my estate, and agree that under no circumstances will I 
or my heirs, executors, administrators, and assigns prosecute, file suit, or present any claim for personal injury, 
property damage, wrongful death, or any other claims or liabilities against the Releasees for any of said causes of 
action, whether the same shall arise by the negligence of any of said Releasees, or otherwise.  Further, I  grant 
permission to the Releasees to use any photographs, motion pictures, recordings or any other record (referred to as 
“media”) of the Activity(ies) containing my name, likeness or performance.  I also agree that no such media acquired 
at the Jewett House will be published or provided for public viewing without express written consent.  I further understand 
and agree that I am responsible for any property/valuables I bring into the Jewett House and hereby acknowledge the 
Releasees are not responsible for loss, theft, or damage of any such property/valuables. 

Consent for Emergency Medical Care 
I authorize the Releasees and its designated representatives to consent, on my behalf, to any emergency 
medical/hospital care or treatment to be rendered upon the advice of a licensed physician or emergency medical 
team.  I agree to be responsible for all necessary charges incurred by any hospitalization or treatment rendered 
pursuant to this authorization. 

THE UNDERSIGNED HAVE READ, UNDERSTAND, AND VOLUNTARILY SIGN THIS RELEASE AND WAIVER 
OF ALL LIABILITY AND INDEMNITY AGREEMENT, AND CONSENT FOR EMERGENCY TREATMENT, and has 
also been fully advised of potential dangers incidental to engaging in Activity(ies) at the Jewett House and are fully 
aware of the legal consequences of signing this release. The undersigned further agrees that no oral 
representations or statements of inducement apart from the foregoing written agreement have been made. 
The undersigned further expressly agrees that this foregoing release waiver is intended to be as broad and inclusive
as is permitted by the law and that if any portion thereof is held invalid, it is agreed that the balance shall 
notwithstanding, continue in full legal force and effect.  I also state that I am over the age of 18, or if under 18, I state

that my parent/legal guardian will be with me during the entire activity.



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