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<br />Sample based on Agreement Forms for First Christian Church Trailer Shelter Program 23 <br /> <br />Sample Car Camping Agreement between Hosts & Campers <br /> <br />Sign-up and Release of Claims Agreement <br />Adults: <br /> <br /> <br /> <br />Children: <br />Name Age Sex <br /> <br /> <br /> <br />For any child listed above, please give the name and number of any parent/s who is not staying in <br />the trailer. N/A <br />Emergency Contact (Name & Phone/Address): <br />Other relevant information: N/A <br /> <br /> I will cooperate with the host representatives to the fullest extent possible, and will <br />actively participate in a plan that is intended to result in my greater self-sufficiency. <br /> I agree to stay on the property and in the shelter provided (if applicable) at my own risk <br />and will make no claim against the host if personal injury, loss of personal belongings or <br />damage of personal property occurs while on the premises. <br /> I consider my stay on the property to be transitory and not subject to the Oregon tenant <br />laws. I understand that this shelter is being provided on a trial basis and that I may be <br />asked to leave at any time. <br /> <br />Camper Signature: Date: <br /> <br />Host Signature: Date: <br />January 23, 2019, Work Session - Item 2